| NPI | 1073005682 |
|---|---|
| Former Name | AMBERLY R RILEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: OH CDCA.168722) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: OH 165209) |
| Enumeration Date | 2018-05-31 |
| Last Update Date | 2023-01-26 |