NPI | 1043673015 |
---|---|
Former Name | DOMINIQUE M. STARR |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: OH F.1800067) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: OH M.1600007) |
Enumeration Date | 2016-03-29 |
Last Update Date | 2019-04-05 |