NPI | 1285708552 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH E-0002408) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: OH F-0000076) |
Enumeration Date | 2006-11-20 |
Last Update Date | 2007-07-08 |