| NPI | 1952876302 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CT 3353) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: OH F.2200298) |
| Enumeration Date | 2018-10-11 |
| Last Update Date | 2024-03-22 |