| NPI | 1982240156 |
|---|---|
| Former Name | CLORISSA OGLE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: OH C.2405880) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: IN 88001804A) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH 162551) | |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2019-11-22 |
| Last Update Date | 2024-03-08 |