| NPI | 1568546588 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: OH 5562) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH E0001997) |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2010-04-14 |