| NPI | 1619140274 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: OH P-2759) |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: OH 2759) |
| Enumeration Date | 2008-04-03 |
| Last Update Date | 2013-02-06 |