Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YP2500X | Professional Counselor | C.1400565 | OH |
NPI | 1003279936 |
---|---|
Provider Name | Mrs. Sarah R Newman |
First Address | University Hts, OH 44118-4611 |
Second Address | University Heights, OH 44118-4611 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 29/03/2016 |
Last Update Date | 29/03/2016 |