| NPI | 1457859357 |
|---|---|
| Former Name | KRIS IRENE MOTLEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH 121402) |
| Enumeration Date | 2018-01-25 |
| Last Update Date | 2018-01-25 |