NPI | 1518450964 |
---|---|
Former Name | KIM ANN BUSH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH CDCA.192160) |
Enumeration Date | 2018-06-11 |
Last Update Date | 2025-05-02 |