NPI | 1518580281 |
---|---|
Former Name | KALIN ANN SCARBERRY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH CDCA.178041) |
Additional Taxonomies | 175T00000X Peer Specialist |
Enumeration Date | 2020-05-28 |
Last Update Date | 2021-09-01 |