| NPI | 1134696875 |
|---|---|
| Other Name | PATRICIA IRENE FAW |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH CDCA.168218) |
| Enumeration Date | 2018-10-31 |
| Last Update Date | 2018-10-31 |