| NPI | 1194522763 |
|---|---|
| Former Name | SHAYNA WOODYARD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH CDCA.190929) |
| Enumeration Date | 2025-02-28 |
| Last Update Date | 2025-02-28 |