| NPI | 1740648443 |
|---|---|
| Former Name | JASMINE LAUTENSLAGER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: OH I.0700185-SUPV) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: OH ICDC.141143) |
| Enumeration Date | 2016-02-09 |
| Last Update Date | 2016-02-09 |