| NPI | 1194063115 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH C.1100334) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: OH M.1300001) |
| Enumeration Date | 2013-01-25 |
| Last Update Date | 2013-01-25 |