| NPI | 1801519517 |
|---|---|
| Former Name | ASHLEY KRISTIN BOSTICK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH CDCA.186652) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: OH LPN.144933.MEDS-IV) |
| 251B00000X Case Management | |
| Enumeration Date | 2022-09-19 |
| Last Update Date | 2023-12-10 |