NPI | 1962929463 |
---|---|
Former Name | HILARY JO FITCH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH LICDC.162037) |
Enumeration Date | 2017-08-25 |
Last Update Date | 2020-08-20 |