| NPI | 1053513523 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH C.2406393-TRNE) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OH PT008558) |
| Enumeration Date | 2007-06-05 |
| Last Update Date | 2025-07-10 |