| NPI | 1770637878 |
|---|---|
| Former Name | REO WEXNER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: WA PY61534105) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NE 8043) |
| 103T00000X Psychologist | |
| Enumeration Date | 2007-01-23 |
| Last Update Date | 2024-10-24 |