NPI | 1346880242 |
---|---|
Former Name | BRENNA ACKER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH CDCA.172534) |
Enumeration Date | 2020-01-09 |
Last Update Date | 2020-03-03 |