| NPI | 1699020610 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: OH 08071) |
| Additional Taxonomies | 103TS0200X Psychologist, School (Licence: NY 1405792) |
| Enumeration Date | 2012-07-16 |
| Last Update Date | 2021-01-08 |