| NPI | 1700265188 |
|---|---|
| Former Name | TAYLOR MAIRE PHELPS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: OH S1500912) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 251S00000X (Licence: OH S1500912) | |
| Enumeration Date | 2015-05-19 |
| Last Update Date | 2024-07-02 |