| NPI | 1578931572 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: OH P.08665) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OH S.1510083-TRNE) |
| Enumeration Date | 2015-09-08 |
| Last Update Date | 2024-09-17 |