NPI | 1851157887 |
---|---|
Former Name | ATLANTA KRISTIAN SOWERS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: OH CDCA.190052) |
Enumeration Date | 2024-02-27 |
Last Update Date | 2024-09-26 |