| NPI | 1053753897 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: OH F.2100189) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: KY 170725) |
| Enumeration Date | 2013-07-22 |
| Last Update Date | 2022-02-07 |