| NPI | 1568108736 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: OH APP-000581603) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: OH APP-000581603) |
| 103TC0700X Psychologist, Clinical (Licence: OH 581603) | |
| Enumeration Date | 2022-05-10 |
| Last Update Date | 2022-05-10 |