| NPI | 1164115333 |
|---|---|
| Former Name | TONIA MARIE MENDENHALL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH CDCA.185574) |
| Additional Taxonomies | 172V00000X Community Health Worker |
| Enumeration Date | 2023-06-01 |
| Last Update Date | 2025-09-26 |