| NPI | 1689102501 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: OH C.2203931) |
| Additional Taxonomies | 247200000X Technician, Other |
| Enumeration Date | 2017-05-24 |
| Last Update Date | 2025-06-16 |