| NPI | 1053882084 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: OH C1901597TRNE) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: OH M1900139TRNE) |
| Enumeration Date | 2018-12-17 |
| Last Update Date | 2020-09-14 |