NPI | 1265406938 |
---|---|
Other Name | MOLLY A FAIRCHILD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor Professional (Licence: OH E.0004103) |
Additional Taxonomies | 101YP2500X Counselor Professional (Licence: OH E0004103) |
Enumeration Date | 2006-02-17 |
Last Update Date | 2009-10-06 |