| NPI | 1841977592 |
|---|---|
| Former Name | GWENDOLYN RENEE POWERS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH E.0007780-SUPV) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH LCDCIII.976137) |
| Enumeration Date | 2023-07-03 |
| Last Update Date | 2023-07-03 |