| NPI | 1841982493 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TS0200X Psychologist, School (Licence: OH OH3312109) |
| Additional Taxonomies | 103TS0200X Psychologist, School (Licence: WV N7T144200044) |
| Enumeration Date | 2023-05-23 |
| Last Update Date | 2023-05-23 |