NPI | 1598507287 |
---|---|
Other Name | JAZMINE JOSEPH ALLEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH 186960) |
Enumeration Date | 2024-06-12 |
Last Update Date | 2024-06-12 |