| NPI | 1912127226 |
|---|---|
| Former Name | GRETCHEN ELIZABETH SQUIRES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH 011159) |
| 101YP2500X Counselor, Professional (Licence: OH C 0008035) | |
| Enumeration Date | 2007-04-27 |
| Last Update Date | 2023-02-22 |