NPI | 1083359657 |
---|---|
Former Name | KAYLA TSCHUDY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH CDCA.179480) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH S.2207224) |
Enumeration Date | 2022-04-28 |
Last Update Date | 2022-04-28 |