NPI | 1871084079 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: OH F.2300367) |
Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: CA IMF93333) |
Enumeration Date | 2018-05-23 |
Last Update Date | 2023-10-31 |