| NPI | 1497527154 |
|---|---|
| Other Name | CONNIE KNOWLTON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH 184286) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: OH aps.004527) |
| Enumeration Date | 2023-10-26 |
| Last Update Date | 2023-10-26 |