| NPI | 1649887993 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: OH M.2200296) |
| Additional Taxonomies | 175T00000X Peer Specialist |
| Enumeration Date | 2020-09-29 |
| Last Update Date | 2022-11-04 |