| NPI | 1043765423 |
|---|---|
| Former Name | LINDA SCOTT ZELLARS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH 882482) |
| Enumeration Date | 2016-08-16 |
| Last Update Date | 2016-08-31 |