NPI | 1063129260 |
---|---|
Former Name | BETH ALEXANDER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH C.2203982) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH CDCA.179506) |
Enumeration Date | 2022-10-28 |
Last Update Date | 2022-10-28 |