NPI | 1467157727 |
---|---|
Former Name | JENNIFER SHEETS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH CDCA183974) |
Enumeration Date | 2023-04-04 |
Last Update Date | 2023-04-04 |