| NPI | 1790476877 |
|---|---|
| Former Name | SANDY JOANN ZIMMERMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH CDCA.183649) |
| Enumeration Date | 2023-05-18 |
| Last Update Date | 2023-05-18 |