| NPI | 1700373586 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH C1801257) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: OH M.1800071) |
| Enumeration Date | 2018-04-17 |
| Last Update Date | 2019-02-20 |