| NPI | 1588918536 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: OH 7548) |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: MO 2012035182) |
| Enumeration Date | 2012-10-30 |
| Last Update Date | 2018-11-07 |