NPI | 1326410028 |
---|---|
Former Name | KATHLEEN E ROLLER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: OH F.1500013) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH F.1500013) |
Enumeration Date | 2015-10-21 |
Last Update Date | 2018-06-25 |