NPI | 1235680075 |
---|---|
Former Name | SARAH HURST |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH C.1801127) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH LICDC.161412) |
Enumeration Date | 2016-10-17 |
Last Update Date | 2020-01-15 |