NPI | 1407372360 |
---|---|
Former Name | KELSEY BRONNER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH C.2304830) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH LICDC.162318) | |
Enumeration Date | 2017-08-22 |
Last Update Date | 2023-02-03 |