Individual
MS. BRENDA SING-OTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.P.C.C.
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
E0700159
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01274
—
OH
01
—
31-0536968
TAX IDENTIFICATION NUMBER
OH
Enumeration date
10/05/2009
Last updated
11/15/2011
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