NPI | 1376216903 |
---|---|
Former Name | TASHA MOYA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH CDCA.177771) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2021-07-29 |
Last Update Date | 2021-08-05 |