| NPI | 1619098688 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: OH F0000039) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: NH 96) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH 001139) | |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2009-09-23 |