| 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 |