| NPI | 1689335614 |
|---|---|
| Former Name | MEGAN KETTERMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH LICDC.162966) |
| Additional Taxonomies | 104100000X Social Worker (Licence: OH S.2410470) |
| 324500000X Substance Abuse Rehabilitation Facility (Licence: OH 179298) | |
| Enumeration Date | 2022-01-03 |
| Last Update Date | 2026-01-29 |