NPI | 1811488190 |
---|---|
Former Name | SAMANTHA FARINELLI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH CDCA.171498) |
Enumeration Date | 2018-05-23 |
Last Update Date | 2019-10-15 |