| NPI | 1730507641 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: OH C0800205-CR) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: OH M0900016) |
| Enumeration Date | 2014-03-29 |
| Last Update Date | 2017-02-21 |