| NPI | 1902300502 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: OH F.2200260) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: OH E.1901422) |
| Enumeration Date | 2018-03-20 |
| Last Update Date | 2022-07-07 |