| NPI | 1629505516 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: OH P.07755) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: OH P.07755) |
| 103K00000X Behavior Analyst (Licence: OH P.07755) | |
| Enumeration Date | 2017-05-22 |
| Last Update Date | 2024-02-23 |