| NPI | 1134663313 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH E.1800520-SUPV) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: OH F.1800035-SUPV) |
| Enumeration Date | 2016-12-07 |
| Last Update Date | 2020-01-23 |