NPI | 1912268566 |
---|---|
Former Name | BRITTANY NICOLE BOCH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E.1100343) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: OH F. 1400012) |
Enumeration Date | 2012-05-30 |
Last Update Date | 2019-07-10 |