NPI | 1205238995 |
---|---|
Former Name | TRISH ANNE O'LEARY GOLDSTEIN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OR L7555) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2014-09-24 |
Last Update Date | 2021-05-10 |