NPI | 1710212857 |
---|---|
Former Name | AMANDA L. HAYES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E.0900345-SUPV) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH LICDC.131240) |
Enumeration Date | 2009-10-07 |
Last Update Date | 2017-01-03 |