| NPI | 1730693664 |
|---|---|
| Former Name | ELENA SANKOVIC |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH 162144) |
| Enumeration Date | 2017-11-30 |
| Last Update Date | 2020-11-16 |