NPI | 1902504384 |
---|---|
Former Name | KRISTINA M BAUGHMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH CDCA.187304) |
Enumeration Date | 2023-02-16 |
Last Update Date | 2024-02-15 |