NPI | 1659919454 |
---|---|
Former Name | NICOLE ELIZABETH LEWE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH CDCA.175067) |
Additional Taxonomies | 106S00000X Behavior Technician |
Enumeration Date | 2019-12-12 |
Last Update Date | 2024-10-07 |