| NPI | 1750411302 |
|---|---|
| Former Name | AMY ELIZABETH HALLER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I.070090-SUPV) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH licdc.081117) |
| Enumeration Date | 2007-03-06 |
| Last Update Date | 2023-09-29 |