NPI | 1285946137 |
---|---|
Former Name | CRYSTAL D OSTROWSKE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH E0900175SUPV) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OH E0900175SUPV) |
101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH LICDC 111039) | |
Enumeration Date | 2010-07-08 |
Last Update Date | 2023-07-06 |