| NPI | 1083354997 |
|---|---|
| Former Name | SHARON K PAYNE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH CDCA.180135) |
| Enumeration Date | 2022-03-30 |
| Last Update Date | 2022-03-30 |