NPI | 1710634910 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: OH M.1900096) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OH C.1800983) |
Enumeration Date | 2022-03-07 |
Last Update Date | 2022-03-07 |