NPI | 1811194863 |
---|---|
Former Name | CORINNA MARIA FARLEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E.1800913) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IN 39001834A) |
Enumeration Date | 2007-07-02 |
Last Update Date | 2020-05-05 |