| NPI | 1659715480 |
|---|---|
| Former Name | CHASITY A SHEA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH ICDC.121117-CS) |
| Enumeration Date | 2013-04-23 |
| Last Update Date | 2024-01-22 |