NPI | 1992303697 |
---|---|
Former Name | KATRINA LYNN DALRYMPLE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH CDCA.178192) |
Enumeration Date | 2020-10-14 |
Last Update Date | 2022-09-12 |