| NPI | 1659531911 |
|---|---|
| Former Name | DAWN MARIE RIST |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: OH E.0002387 SUPV) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH LICDC.965797) |
| Enumeration Date | 2008-06-11 |
| Last Update Date | 2023-10-03 |