| NPI | 1104334929 |
|---|---|
| Former Name | LISA ALEXANDER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH CDCA.169481) |
| Enumeration Date | 2018-01-15 |
| Last Update Date | 2025-06-24 |