| NPI | 1649837626 |
|---|---|
| Former Name | DIANE B TOMASEK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH LCDCIII162573) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH LCDCII.161785) |
| Enumeration Date | 2019-05-24 |
| Last Update Date | 2023-10-19 |