| NPI | 1174096200 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH C1902336) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: OH M1900133-TRNE) |
| Enumeration Date | 2019-01-11 |
| Last Update Date | 2019-12-31 |