| NPI | 1033766241 |
|---|---|
| Former Name | STEPHANIE HAYES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH LICDC.162433) |
| Enumeration Date | 2019-08-22 |
| Last Update Date | 2024-01-18 |