| NPI | 1548528763 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E.2102282-SUPV) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: OH E.2102282) |
| 106H00000X Marriage & Family Therapist (Licence: OH C 0700845) | |
| Enumeration Date | 2012-04-25 |
| Last Update Date | 2023-12-20 |