NPI | 1770331043 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: IN 35002401A) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: OH F.2400416) |
Enumeration Date | 2024-05-10 |
Last Update Date | 2024-11-04 |