| NPI | 1750934642 |
|---|---|
| Former Name | MELISSA LYNN BOYLE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH CDCA.171007) |
| Enumeration Date | 2019-07-19 |
| Last Update Date | 2024-07-03 |