| NPI | 1770891582 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: GA MFT001257) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: OH F-1200001) |
| Enumeration Date | 2010-09-15 |
| Last Update Date | 2012-11-14 |