| NPI | 1992124630 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH E.1801001) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OH C.1000484) |
| 101YM0800X Counselor, Mental Health (Licence: OH C.1000484) | |
| 106H00000X Marriage & Family Therapist (Licence: OH C.1000484) | |
| Enumeration Date | 2014-04-09 |
| Last Update Date | 2019-09-12 |