| NPI | 1750631073 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: OH F1600013) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OH C.1100605) |
| 106H00000X Marriage & Family Therapist (Licence: OH M1200030) | |
| Enumeration Date | 2012-09-13 |
| Last Update Date | 2016-12-01 |