| NPI | 1700190410 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TS0200X Psychologist School (Licence: OH SP490) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: OH E1300023-SUPV) |
| 106H00000X Marriage & Family Therapist (Licence: OH F1100012-SUPV) | |
| Enumeration Date | 2010-08-05 |
| Last Update Date | 2024-01-12 |