NPI | 1316578735 |
---|---|
Other Name | JULIE LOUIS BONZON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH CDCA172337) |
Enumeration Date | 2020-02-04 |
Last Update Date | 2020-03-10 |