| NPI | 1720690910 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TS0200X Psychologist, School (Licence: OH LSP01287) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OH S.0013069) |
| Enumeration Date | 2020-08-19 |
| Last Update Date | 2025-09-09 |