| NPI | 1760729008 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E. 0004301) |
| Additional Taxonomies | 103T00000X Psychologist |
| 103TM1800X Psychologist, Intellectual & Developmental Disabilities | |
| Enumeration Date | 2013-01-07 |
| Last Update Date | 2022-03-06 |