| NPI | 1952155426 |
|---|---|
| Former Name | CARLYNNE SHEA SUTTER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH CDCA.185955) |
| Enumeration Date | 2024-04-12 |
| Last Update Date | 2024-04-15 |