| NPI | 1003315821 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 251S00000X (Licence: OH c.1700264) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OH C.1700264) |
| 106H00000X Marriage & Family Therapist (Licence: OH M.1800069) | |
| Enumeration Date | 2018-02-07 |
| Last Update Date | 2018-09-10 |