| NPI | 1215617824 |
|---|---|
| Former Name | MARY ELIZABETH MEYERS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH CDCA.193505) |
| Enumeration Date | 2023-07-19 |
| Last Update Date | 2025-10-02 |