| NPI | 1629550207 |
|---|---|
| Former Name | DEBRA ANN KUTCH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH cdca.167377) |
| Enumeration Date | 2018-08-30 |
| Last Update Date | 2018-10-05 |