| NPI | 1609246354 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: OH 7259) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OH 8462) |
| Enumeration Date | 2015-10-06 |
| Last Update Date | 2017-04-26 |