| NPI | 1356659650 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TN 1372) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: OH M. 0800005) |
| Enumeration Date | 2010-09-21 |
| Last Update Date | 2024-01-21 |