| NPI | 1053180166 |
|---|---|
| Former Name | DEBORAH J HALL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: OH CDCA.184724) |
| Enumeration Date | 2023-12-29 |
| Last Update Date | 2023-12-29 |