| NPI | 1669916219 |
|---|---|
| Former Name | KATHLEEN KOELSCH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH 943937) |
| Enumeration Date | 2016-12-15 |
| Last Update Date | 2018-06-11 |