| NPI | 1821486580 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TS0200X Psychologist, School (Licence: OH 21034654) |
| Additional Taxonomies | 103TS0200X Psychologist, School (Licence: PA 4945293) |
| Enumeration Date | 2015-01-05 |
| Last Update Date | 2015-01-05 |