| NPI | 1821818923 |
|---|---|
| Former Name | KALEIGH NIKOLE MCCLISH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH CDCA-190133) |
| Enumeration Date | 2024-10-14 |
| Last Update Date | 2024-12-16 |