| NPI | 1700803715 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OH E1840) |
| 101YM0800X Counselor, Mental Health (Licence: OH E1840) | |
| Enumeration Date | 2006-07-16 |
| Last Update Date | 2025-09-11 |