| NPI | 1740656495 |
|---|---|
| Former Name | KATHERINE KERN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH C.1000025) |
| Enumeration Date | 2015-08-18 |
| Last Update Date | 2015-08-18 |