| NPI | 1972019313 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH C.1500886) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: OH M.1700015) |
| Enumeration Date | 2017-12-21 |
| Last Update Date | 2017-12-21 |