| NPI | 1003051913 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: OH S, 0500693) |
| Additional Taxonomies | 104100000X Social Worker (Licence: OH S.0500693) |
| 1041C0700X Social Worker, Clinical (Licence: OH S.0500693) | |
| Enumeration Date | 2008-12-05 |
| Last Update Date | 2020-12-02 |