| NPI | 1588170005 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: OH LICDC.021368) |
| Additional Taxonomies | 104100000X Social Worker (Licence: OH S.0031722) |
| 106H00000X Marriage & Family Therapist (Licence: OH M.1600005) | |
| Enumeration Date | 2017-12-20 |
| Last Update Date | 2017-12-20 |