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 | 2024-10-08 |