| NPI | 1033624762 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: OH M.1700053) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CT 1952) |
| Enumeration Date | 2017-12-04 |
| Last Update Date | 2018-03-17 |