NPI | 1427449495 |
---|---|
Former Name | ALICIA MONACO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E.1500014-Supv) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH 1200002) |
Enumeration Date | 2015-02-12 |
Last Update Date | 2025-09-11 |