| NPI | 1730161225 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TB0200X Psychologist Cognitive & Behavioral (Licence: OH 5525) |
| Additional Taxonomies | 103TA0700X Psychologist Adult Development & Aging (Licence: OH 5255) |
| 103TC1900X Psychologist Counseling (Licence: OH 5525) | |
| 103T00000X Psychologist | |
| 103TC2200X Psychologist Clinical Child & Adolescent (Licence: OH 5525) | |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2005-11-18 |
| Last Update Date | 2023-08-08 |