| NPI | 1295700789 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH I0009237) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OH I0009237) |
| 106H00000X Marriage & Family Therapist (Licence: OH I0009237) | |
| Enumeration Date | 2006-02-20 |
| Last Update Date | 2009-12-15 |