| NPI | 1912385691 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATIE WOOTTON Marriage And Family Therapist 440-390-8384 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: OH 1500008) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OH 1100354) |
| Enumeration Date | 2015-05-13 |
| Last Update Date | 2015-05-13 |