| NPI | 1447369715 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH E-0005587) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: OH F024) |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2018-04-16 |