| NPI | 1154930360 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: OH M.2400095-TEMP) |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2020-07-24 |
| Last Update Date | 2024-07-29 |