| NPI | 1609554252 |
|---|---|
| Former Name | HEATHER ANN HERNING |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: OH 183341) |
| Enumeration Date | 2023-07-05 |
| Last Update Date | 2024-07-17 |