| NPI | 1790062321 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: OH F.1800041-SUPV) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: VA 0717001625) |
| 106H00000X Marriage & Family Therapist (Licence: OH M.1100005) | |
| Enumeration Date | 2011-11-10 |
| Last Update Date | 2023-07-20 |