| NPI | 1972220051 |
|---|---|
| Former Name | EMILY AMIDON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: OH S.2309407) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| Enumeration Date | 2022-10-20 |
| Last Update Date | 2023-07-27 |