| NPI | 1730620147 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: OH 5413) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: OH 5413) |
| 103TA0400X Psychologist Addiction (Substance Use Disorder) (Licence: OH 5413) | |
| 103TA0700X Psychologist Adult Development & Aging (Licence: OH 5413) | |
| 103TB0200X Psychologist Cognitive & Behavioral (Licence: OH 5413) | |
| 103TC1900X Psychologist Counseling (Licence: OH 5413) | |
| 103TH0100X Psychologist Health Service (Licence: OH 5413) | |
| 103TR0400X Psychologist Rehabilitation (Licence: OH 5413) | |
| Enumeration Date | 2017-03-17 |
| Last Update Date | 2017-03-17 |