| NPI | 1285388199 |
|---|---|
| Former Name | KATLYN L DAVISON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH CDCA.179686) |
| Enumeration Date | 2022-02-09 |
| Last Update Date | 2022-02-21 |