| NPI | 1912405903 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E.1800917-SUPV) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OH C.1000220) |
| 106H00000X Marriage & Family Therapist (Licence: OH M.1100013) | |
| Enumeration Date | 2018-01-25 |
| Last Update Date | 2024-04-24 |