| NPI | 1134809387 |
|---|---|
| Other Name | TABITHA RENEE HUMPHREY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH CDCA.187459) |
| Enumeration Date | 2023-07-21 |
| Last Update Date | 2024-07-15 |