NPI | 1215537493 |
---|---|
Former Name | CHRISTINE ERIN MORAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E2303835) |
Additional Taxonomies | 101Y00000X Counselor (Licence: OH C.2102962) |
101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH CDCA.171116) | |
Enumeration Date | 2020-10-28 |
Last Update Date | 2024-09-03 |