| NPI | 1639616196 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: OH 7538) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OH E.1100254-SUPV) |
| Enumeration Date | 2017-01-23 |
| Last Update Date | 2024-05-08 |