| NPI | 1053701847 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: OH 1400032) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: OH F1800040) |
| Enumeration Date | 2015-01-31 |
| Last Update Date | 2019-03-04 |