| NPI | 1063069995 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH C.2002784) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: OH C.1901872-TRNE) |
| 106H00000X Marriage & Family Therapist (Licence: OH M.1900158-TRNE) | |
| Enumeration Date | 2019-08-26 |
| Last Update Date | 2023-08-14 |