| NPI | 1881877306 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: OH 6480) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CA 3815) |
| 101YP2500X Counselor, Professional (Licence: OH E0006765) | |
| Enumeration Date | 2007-12-06 |
| Last Update Date | 2018-05-24 |