| NPI | 1518614304 |
|---|---|
| Former Name | ANGELA CORWIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH CDCA179414) |
| Enumeration Date | 2022-03-02 |
| Last Update Date | 2022-03-02 |