| NPI | 1831213859 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: OH 6404) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: PA PC004206) |
| Enumeration Date | 2007-03-16 |
| Last Update Date | 2011-05-06 |