NPI | 1114361557 |
---|---|
Former Name | LINLEY ANNE VERMILLION |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E.1600055) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH C.1300164) |
Enumeration Date | 2013-04-27 |
Last Update Date | 2019-01-22 |