| NPI | 1629625496 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH C.2002874) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: OH C.1901871-TRNE) |
| 106H00000X Marriage & Family Therapist (Licence: OH M.1900159-TRNE) | |
| Enumeration Date | 2019-08-26 |
| Last Update Date | 2020-11-30 |