NPI | 1760147003 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: OH M.2100158) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH C.2103124) |
Enumeration Date | 2021-11-02 |
Last Update Date | 2021-11-02 |