| NPI | 1114256708 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH E. 0501099) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: OH F. 0500014) |
| Enumeration Date | 2009-12-10 |
| Last Update Date | 2011-01-25 |