| NPI | 1790236495 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: OH #4359) |
| Additional Taxonomies | 103TC2200X Psychologist Clinical Child & Adolescent (Licence: OH #4359) |
| 103TF0000X Psychologist Family (Licence: OH #4359) | |
| Enumeration Date | 2016-10-18 |
| Last Update Date | 2016-10-18 |