| NPI | 1427616556 |
|---|---|
| Former Name | JACQUELINE GERMANO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH E.2202867-SUPV) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH LICDC.162448) |
| 101YM0800X Counselor, Mental Health (Licence: OH C.2002454) | |
| Enumeration Date | 2019-06-04 |
| Last Update Date | 2023-11-10 |