NPI | 1033683693 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I.2304367) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH CDCA.168958) |
1041C0700X Social Worker, Clinical (Licence: OH S.1904058) | |
Enumeration Date | 2019-01-17 |
Last Update Date | 2023-08-07 |