NPI | 1659158897 |
---|---|
Former Name | EMILY LYNNE KOELMEL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103T00000X Psychologist (Licence: OH P.08536) |
Additional Taxonomies | 103TS0200X Psychologist, School |
Enumeration Date | 2023-09-12 |
Last Update Date | 2024-01-08 |