NPI | 1093361305 |
---|---|
Doing Business As | JESSICA L FARLEY |
Entity Type | Organization |
Authorized Contact | JESSICA LYNN FARLEY Owner/Clinician 419-575-1978 |
Organization Subpart ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional |
Enumeration Date | 2019-08-13 |
Last Update Date | 2019-08-13 |