NPI | 1255864450 |
---|---|
Former Name | BARBARA MYLES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: OH F.2200245) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NY CASAC-33010) |
106H00000X Marriage & Family Therapist (Licence: NY 001886) | |
Enumeration Date | 2017-04-05 |
Last Update Date | 2022-03-01 |