NPI | 1639258874 |
---|---|
Former Name | MICHELLE RENEE COWLEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E0500227) |
Additional Taxonomies | 101Y00000X Counselor (Licence: OH E0500227) |
Enumeration Date | 2006-11-06 |
Last Update Date | 2015-02-09 |