| NPI | 1972297471 |
|---|---|
| Professional Name | J. PENELOPE KIDDER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH 0002003) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH 0002003) |
| 101YM0800X Counselor, Mental Health (Licence: OH 0002003) | |
| Enumeration Date | 2023-06-07 |
| Last Update Date | 2023-06-07 |