| NPI | 1770581043 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: OH 3417) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: OH E0001388) |
| Enumeration Date | 2005-07-12 |
| Last Update Date | 2011-09-30 |