NPI | 1386062545 |
---|---|
Other Name | TINA MICHELLE COTTO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH 111069) |
Enumeration Date | 2014-04-03 |
Last Update Date | 2014-04-03 |