| NPI | 1124313523 |
|---|---|
| Former Name | JODI LYNN FRAZIER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH C0700126) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OH E.0700126-SUPV) |
| Enumeration Date | 2011-06-14 |
| Last Update Date | 2021-06-01 |