| NPI | 1942670757 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH C.1300249) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: OH M.1400010) |
| Enumeration Date | 2015-10-06 |
| Last Update Date | 2015-10-06 |