| NPI | 1619442944 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: OH P.07896) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH C.1801520) |
| Enumeration Date | 2018-10-13 |
| Last Update Date | 2019-06-24 |