| NPI | 1669599072 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH C-0004924) |
| Additional Taxonomies | 101YS0200X Counselor, School (Licence: OH C-0004924) |
| 106H00000X Marriage & Family Therapist (Licence: OH C-0004924) | |
| Enumeration Date | 2007-03-23 |
| Last Update Date | 2007-07-08 |