| NPI | 1912555434 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: OH P.08216) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: OH I.1800998) |
| 103T00000X Psychologist (Licence: OH P.08216) | |
| Enumeration Date | 2019-08-28 |
| Last Update Date | 2025-02-28 |