NPI | 1497106181 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH C.1400331-CR) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: OH M.1500014) |
Enumeration Date | 2016-06-24 |
Last Update Date | 2016-10-17 |