| NPI | 1972088755 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TR0400X Psychologist, Rehabilitation (Licence: OH P.08860) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 178.014188) |
| Enumeration Date | 2018-09-27 |
| Last Update Date | 2026-02-17 |