| NPI | 1609121631 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: OH F.2200273) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 1096) |
| 106H00000X Marriage & Family Therapist (Licence: CA 107940) | |
| 171M00000X Case Manager/Care Coordinator (Licence: CA 107940) | |
| 101Y00000X Counselor (Licence: CA 107940) | |
| Enumeration Date | 2012-07-16 |
| Last Update Date | 2023-11-13 |