| NPI | 1679086490 |
|---|---|
| Former Name | TIPHANY BOYD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH LCDCIII.161866) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH CDCA.161978) |
| Enumeration Date | 2017-11-15 |
| Last Update Date | 2023-11-21 |