NPI | 1225341399 |
---|---|
Former Name | KARLEE RAE GRABLE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH LICDC.162162) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MI 6401011973) |
Enumeration Date | 2010-07-19 |
Last Update Date | 2024-10-14 |