| NPI | 1174079362 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E.1800792-SUPV) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: OH F.1800073-SUPV) |
| 174400000X Specialist (Licence: OH M.1400006) | |
| Enumeration Date | 2016-08-29 |
| Last Update Date | 2021-01-13 |