NPI | 1598809964 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH E0500951-S) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: OH E0500951-S) |
Enumeration Date | 2007-02-17 |
Last Update Date | 2011-03-31 |