NPI | 1427604420 |
---|---|
Former Name | AIMEE QUINN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH CDCA.170956) |
Additional Taxonomies | 172V00000X Community Health Worker |
Enumeration Date | 2019-08-15 |
Last Update Date | 2020-04-22 |