| NPI | 1639582802 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH E.2303369) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: OH C.2002949) |
| 106H00000X Marriage & Family Therapist (Licence: OH M.2100156) | |
| Enumeration Date | 2014-06-05 |
| Last Update Date | 2023-03-02 |