| NPI | 1689382590 |
|---|---|
| Former Name | ALLISON DANIELLE WATSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH CDCA.182269) |
| Enumeration Date | 2022-11-09 |
| Last Update Date | 2023-08-31 |