| NPI | 1932167699 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: OH 5424) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OH I 0002488) |
| Enumeration Date | 2006-05-03 |
| Last Update Date | 2009-10-20 |