| NPI | 1811520885 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: OH p.07731) |
| Additional Taxonomies | 103T00000X Psychologist |
| Enumeration Date | 2020-02-19 |
| Last Update Date | 2021-10-18 |