| NPI | 1104801059 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: OH E--003018) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: OH F-0068) |
| Enumeration Date | 2005-12-14 |
| Last Update Date | 2007-07-08 |