Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YM0800X | Mental Health Counselor | E.0800008-SUPV | OH |
NPI | 1003112301 |
---|---|
Provider Name | Stephanie Sava |
First Address | Shaker Heights, OH 44118-4819 |
Second Address | Shaker Heights, OH 44118-4819 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 03/02/2011 |
Last Update Date | 31/03/2016 |