NPI | 1194237099 |
---|---|
Former Name | JESSICA BITTNER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH 080053) |
Enumeration Date | 2017-11-01 |
Last Update Date | 2018-04-17 |