| NPI | 1104036995 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E 0001934) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: OH F 0000130) |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2007-07-08 |