| NPI | 1487148276 |
|---|---|
| Former Name | DEIDRE LATOIA SOLOMON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH C.2406575) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH LICDC.161726) |
| 251S00000X | |
| Enumeration Date | 2018-06-15 |
| Last Update Date | 2024-10-11 |