| NPI | 1578702510 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: OH 6523) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OH E0003397SUPV) |
| Enumeration Date | 2009-02-16 |
| Last Update Date | 2013-05-15 |