NPI | 1043750268 |
---|---|
Former Name | LINDSAY DOLL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101Y00000X Counselor (Licence: OH E.2102182-SUPV) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH c.1500173) |
Enumeration Date | 2017-03-07 |
Last Update Date | 2023-05-18 |