| 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 |