NPI | 1902440662 |
---|---|
Former Name | LAURAL A TRECIAK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: OH M.2100172) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH C.2003034) |
Enumeration Date | 2019-11-05 |
Last Update Date | 2024-03-18 |