| NPI | 1679080667 |
|---|---|
| Other Name | AMANDA BERES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: OH LICDC.162250) |
| Enumeration Date | 2017-12-29 |
| Last Update Date | 2024-09-05 |