| NPI | 1992217251 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: UT 11862129-3902) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: UT 11862129-6004) |
| 101YP2500X Counselor, Professional (Licence: OH E.2001656) | |
| 101YP2500X Counselor, Professional (Licence: KY 268693) | |
| 106H00000X Marriage & Family Therapist (Licence: OH M.1700051) | |
| 106H00000X Marriage & Family Therapist (Licence: OH F.2000150) | |
| Enumeration Date | 2017-10-26 |
| Last Update Date | 2023-07-16 |