NPI | 1356663900 |
---|---|
Other Name | LINDA MARIE WATERS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH 0002689) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH 981033) |
Enumeration Date | 2010-02-24 |
Last Update Date | 2013-05-30 |