| 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 |