| NPI | 1386156438 |
|---|---|
| Former Name | TAMMY SUE HETTINGER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: OH CDCA.162435) |
| Enumeration Date | 2017-10-30 |
| Last Update Date | 2023-03-07 |