| NPI | 1588998595 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: OH 6498) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH 180943) |
| 101Y00000X Counselor (Licence: OH E 0004386) | |
| Enumeration Date | 2009-09-23 |
| Last Update Date | 2021-01-11 |