NPI | 1144711375 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH C.1901795) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: OH M.1700066-TRNE) |
Enumeration Date | 2018-05-23 |
Last Update Date | 2019-09-12 |