NPI | 1538602776 |
---|---|
Former Name | LEAH CORNISH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E.1901426) |
Additional Taxonomies | 101Y00000X Counselor (Licence: OH C.1600184-TRNE) |
101YM0800X Counselor, Mental Health (Licence: OH C.1700348) | |
Enumeration Date | 2016-11-21 |
Last Update Date | 2019-10-21 |