| NPI | 1215539481 |
|---|---|
| Former Name | PAIGE MARTIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH LCDCIII.162653) |
| Additional Taxonomies | 104100000X Social Worker (Licence: OH S.2403516-TRNE) |
| 251S00000X | |
| Enumeration Date | 2020-11-12 |
| Last Update Date | 2024-05-24 |