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 |