| NPI | 1427758291 |
|---|---|
| Former Name | REBECCA SARAH TOLLES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH CDCA.183450) |
| Enumeration Date | 2023-03-09 |
| Last Update Date | 2023-03-09 |