| NPI | 1386400646 |
|---|---|
| Former Name | ELIZABETH GWEN GLEICH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH CDCA.187392) |
| Enumeration Date | 2024-02-26 |
| Last Update Date | 2024-02-26 |