| 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 |