| NPI | 1639587876 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: OH P.08861) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OH E.1800561) |
| Enumeration Date | 2014-07-31 |
| Last Update Date | 2025-10-18 |