| NPI | 1730662008 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: OH M.2400319) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MN 29279) |
| Enumeration Date | 2018-09-12 |
| Last Update Date | 2026-04-23 |