| NPI | 1700015492 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH C.0700386) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH C.0700386) |
| 106H00000X Marriage & Family Therapist (Licence: OH C.0700386) | |
| Enumeration Date | 2009-07-02 |
| Last Update Date | 2010-10-20 |