| NPI | 1962920793 |
|---|---|
| Former Name | BOBBIE SMITH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH LICDC.161477) |
| Enumeration Date | 2017-08-31 |
| Last Update Date | 2018-11-19 |