| NPI | 1588804033 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: OH 6448) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: IL 180005222) |
| Enumeration Date | 2009-02-24 |
| Last Update Date | 2009-02-24 |