| NPI | 1346385564 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: OH E481) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: OH F103) |
| 106H00000X Marriage & Family Therapist (Licence: AL L56) | |
| Enumeration Date | 2007-02-21 |
| Last Update Date | 2007-07-08 |