NPI | 1407216872 |
---|---|
Former Name | NICOLE MOTLEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E.1800762) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH C.1500624) |
Enumeration Date | 2016-02-29 |
Last Update Date | 2024-01-16 |