| NPI | 1336614494 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: OH M1800123-TRNE) |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2018-10-04 |
| Last Update Date | 2019-05-14 |