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 |