| NPI | 1679739676 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: OH SP412) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: OH C0001048) |
| Enumeration Date | 2008-07-30 |
| Last Update Date | 2008-07-30 |