NPI | 1225515646 |
---|---|
Former Name | GLORIA NADINE HARCUS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH LCDCIII.162320) |
Enumeration Date | 2018-07-27 |
Last Update Date | 2024-06-21 |