| NPI | 1821306556 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: WV 1197) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OH C.0600618) |
| 101YP2500X Counselor, Professional (Licence: OH C.0600618-CR) | |
| Enumeration Date | 2010-09-15 |
| Last Update Date | 2023-05-18 |