| NPI | 1427583855 |
|---|---|
| Other Name | BETHANY K MARTIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH 111044) |
| Additional Taxonomies | 104100000X Social Worker (Licence: OH 0600109) |
| Enumeration Date | 2017-04-24 |
| Last Update Date | 2018-04-25 |