| NPI | 1932170420 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH I00022208) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: OH I0002208) |
| 1041C0700X Social Worker, Clinical (Licence: OH I0002208) | |
| 103TC1900X Psychologist, Counseling (Licence: OH I00022208) | |
| Enumeration Date | 2006-02-01 |
| Last Update Date | 2009-12-15 |