NPI | 1932699154 |
---|---|
Former Name | LINETTE RAE ANN BETTS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH LCDCIII.161473) |
Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
Enumeration Date | 2018-05-14 |
Last Update Date | 2018-05-14 |