NPI | 1982196374 |
---|---|
Former Name | JENDI S SCHMELZLEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH C.1901677) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH CDCA.167911) |
Enumeration Date | 2018-06-01 |
Last Update Date | 2020-08-05 |