Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YS0200X | School Counselor | S1302922 | OH |
NPI | 1164825691 |
---|---|
Provider Name | Ashanti Mcleod |
First Address | Cleveland, OH 44108-1373 |
Second Address | Cleveland, OH 44108-1373 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 29/09/2014 |
Last Update Date | 29/09/2014 |