| NPI | 1992251136 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH C.2204750) |
| Additional Taxonomies | 103TS0200X Psychologist, School (Licence: OH OH3150341) |
| Enumeration Date | 2016-08-28 |
| Last Update Date | 2023-01-10 |