Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YP2500X | Professional Counselor | C.2103832 | OH |
NPI | 1003573940 |
---|---|
Provider Name | Dinisha Paul |
First Address | Toledo, OH 43615-7364 |
Second Address | Toledo, OH 43615-7364 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/11/2021 |
Last Update Date | 28/11/2021 |