| 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 |