| NPI | 1033469721 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: OH F1300004-SUPV) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH ICDC.161006) |
| 101YP2500X Counselor, Professional (Licence: OK M0900021) | |
| Enumeration Date | 2012-09-11 |
| Last Update Date | 2016-04-22 |