NPI | 1871030874 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH C.1400515) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: OH M.1500017) |
Enumeration Date | 2017-01-27 |
Last Update Date | 2018-06-15 |