NPI | 1679158919 |
---|---|
Former Name | MEGAN DOTSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 104100000X Social Worker (Licence: OH S.2005478) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
Enumeration Date | 2021-03-17 |
Last Update Date | 2024-01-24 |