| NPI | 1811916034 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: OH E2840) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH E2840) |
| 106H00000X Marriage & Family Therapist (Licence: OH E2840) | |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2007-07-09 |