| NPI | 1659438646 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: OH C-0500304) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: OH M-0500026) |
| Enumeration Date | 2007-01-02 |
| Last Update Date | 2007-07-08 |