| NPI | 1679922991 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: UT 10977758-3902) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: OH f 1000005) |
| 106H00000X Marriage & Family Therapist (Licence: OH F1000005) | |
| Enumeration Date | 2016-06-07 |
| Last Update Date | 2024-04-25 |