| NPI | 1790371169 |
|---|---|
| Former Name | RYAN GENE MOTTIE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: OH CDCA.182052) |
| Enumeration Date | 2020-12-18 |
| Last Update Date | 2023-11-17 |