NPI | 1093853954 |
---|---|
Former Name | LINDA M SCOTT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E.0003088-SUPV) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH 011115) |
Enumeration Date | 2007-02-02 |
Last Update Date | 2007-08-20 |