| NPI | 1821306010 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: OH P.08589) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NC 5681) |
| 103TB0200X Psychologist, Cognitive & Behavioral (Licence: OH P.08589) | |
| 103TP2701X Psychologist, Group Psychotherapy (Licence: OH P.08589) | |
| Enumeration Date | 2010-09-22 |
| Last Update Date | 2024-03-28 |