| NPI | 1790152924 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TS0200X Psychologist, School (Licence: OH OH3107975) |
| Additional Taxonomies | 103TS0200X Psychologist, School (Licence: OH SP606) |
| Enumeration Date | 2015-08-24 |
| Last Update Date | 2015-08-24 |