| NPI | 1871011098 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: OH P.08497) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 103T00000X Psychologist (Licence: KS 03078) | |
| Enumeration Date | 2017-09-08 |
| Last Update Date | 2024-05-09 |