NPI | 1386289858 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: OH M.2400378-TRNE) |
Additional Taxonomies | 103TA0400X Psychologist, Addiction (Substance Use Disorder) (Licence: OH LCDCIII.162241) |
Enumeration Date | 2019-11-08 |
Last Update Date | 2024-05-14 |