NPI | 1366958803 |
---|---|
Former Name | AMY MARIE HARRELL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH CDCA.165543) |
Enumeration Date | 2017-12-20 |
Last Update Date | 2018-07-11 |