| NPI | 1427087667 |
|---|---|
| Former Name | CAROL B MANOSH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TM1800X Psychologist Mental Retardation & Developmental Disabilities (Licence: OH 5339) |
| Additional Taxonomies | 103TA0700X Psychologist Adult Development & Aging (Licence: OH 5339) |
| 103TB0200X Psychologist Cognitive & Behavioral (Licence: OH 5339) | |
| 103TC0700X Psychologist Clinical (Licence: OH 5339) | |
| 103TC2200X Psychologist Clinical Child & Adolescent (Licence: OH 5339) | |
| Enumeration Date | 2006-07-01 |
| Last Update Date | 2010-07-06 |