| NPI | 1821517855 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E.1901368-SUPV) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: OH F.2100157-SUPV) |
| Enumeration Date | 2017-09-11 |
| Last Update Date | 2023-12-29 |