| NPI | 1598250375 |
|---|---|
| Former Name | PHYLICIA CHALKER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH CDCA.166239) |
| Enumeration Date | 2018-06-25 |
| Last Update Date | 2025-09-29 |