| NPI | 1568514230 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: OH P.07717) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: OH P.07717) |
| 1041C0700X Social Worker, Clinical (Licence: OH I-0600037) | |
| Enumeration Date | 2007-01-16 |
| Last Update Date | 2024-11-19 |