| NPI | 1972060879 |
|---|---|
| Former Name | BREANNA NAGI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH CDCA.171529) |
| Enumeration Date | 2019-02-27 |
| Last Update Date | 2020-10-14 |