| NPI | 1730242595 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TA0400X Psychologist, Addiction (Substance Use Disorder) (Licence: OH 5352) |
| Additional Taxonomies | 103TB0200X Psychologist, Cognitive & Behavioral (Licence: OH 5352) |
| 103TC0700X Psychologist, Clinical (Licence: OH 5352) | |
| 103TC1900X Psychologist, Counseling (Licence: OH 5352) | |
| 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: OH 5352) | |
| Enumeration Date | 2006-12-19 |
| Last Update Date | 2007-07-09 |