| NPI | 1649614090 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: OH F.1500004) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OH E.1100352) |
| Enumeration Date | 2013-04-28 |
| Last Update Date | 2015-03-19 |