| NPI | 1942699202 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E.1000181) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: OH F.1400020) |
| Enumeration Date | 2015-01-09 |
| Last Update Date | 2015-01-09 |