Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YS0200X | School Counselor | 201186530 | KY |
NPI | 1033634381 |
---|---|
Provider Name | Jacqueline St. Onge |
First Address | Cincinnati, OH 45239-7604 |
Second Address | Cincinnati, OH 45239 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/08/2017 |
Last Update Date | 08/08/2017 |