| NPI | 1356839682 |
|---|---|
| Former Name | AMY JEANNE SEIDLE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH LICDC.162495) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH C.2305598) |
| Enumeration Date | 2018-04-23 |
| Last Update Date | 2024-06-02 |