NPI | 1386157303 |
---|---|
Former Name | TIARRA ST. CLAIR |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH CDCA.184880) |
Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
Enumeration Date | 2017-11-13 |
Last Update Date | 2024-12-13 |