| NPI | 1356620876 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: OH F.1700024) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 98731) |
| Enumeration Date | 2011-08-15 |
| Last Update Date | 2019-09-23 |