| NPI | 1902466279 |
|---|---|
| Former Name | ANNETTE L RUDOLPH-DAVIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH 181950) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| 251S00000X Community/Behavioral Health | |
| Enumeration Date | 2019-06-18 |
| Last Update Date | 2026-04-02 |