| NPI | 1154082626 |
|---|---|
| Former Name | KAITLIN D SHAFER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH CDCA.183012) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH CDCA.179357) |
| Enumeration Date | 2022-01-06 |
| Last Update Date | 2023-09-28 |