| NPI | 1184977787 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: OH F . 1400010) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: MI 4101006459) |
| Enumeration Date | 2012-10-19 |
| Last Update Date | 2014-08-21 |