| NPI | 1952819997 |
|---|---|
| Former Name | SUSAN AMBER LINCKS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH CDCA.186682) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: OH LPN.138775.MEDS.IV) |
| Enumeration Date | 2018-01-11 |
| Last Update Date | 2024-08-14 |