NPI | 1003241001 |
---|---|
Other Name | CLAIRE ELAINE WILLERTON ACOSTA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: OH M1200003) |
Enumeration Date | 2013-09-09 |
Last Update Date | 2014-04-29 |