Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 101YM0800X | Mental Health Counselor | E.0001482-SUPV | OH |
Y | 1041C0700X | Clinical Social Worker | I.0002726-SUPV |
NPI | 1003100207 |
---|---|
Provider Name | Ms. Bonnie R Parish |
First Address | Moraine, OH 45439-1521 |
Second Address | Moraine, OH 45439-1521 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 06/06/2011 |
Last Update Date | 06/06/2011 |