| NPI | 1265789952 |
|---|---|
| Former Name | KELLY MARIE RAMPE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH 031041) |
| Enumeration Date | 2012-08-13 |
| Last Update Date | 2012-08-13 |