| NPI | 1629132758 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E1938) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: OH 6099) |
| Enumeration Date | 2006-12-21 |
| Last Update Date | 2007-07-08 |