| NPI | 1043460256 |
|---|---|
| Former Name | JENNIFER BARTON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E-0003546-SUPV) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH 975857) |
| Enumeration Date | 2008-09-24 |
| Last Update Date | 2013-11-27 |