| 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 |