| NPI | 1366180952 |
|---|---|
| Former Name | MINDY CAMPBELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: OH LICDC.162629) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: OH C.2304955) |
| Enumeration Date | 2022-05-24 |
| Last Update Date | 2025-05-16 |