| NPI | 1427608363 |
|---|---|
| Former Name | KRISTIN BOGGS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH CDCA.184396) |
| Enumeration Date | 2019-09-12 |
| Last Update Date | 2024-12-10 |