NPI | 1366701179 |
---|---|
Former Name | MICHELLE L BARRON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E.1800522) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OH C0900276) |
Enumeration Date | 2012-05-14 |
Last Update Date | 2018-03-22 |