NPI | 1093304511 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I.2405876) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH LICDC.162443) |
101YM0800X Counselor, Mental Health | |
Enumeration Date | 2021-01-11 |
Last Update Date | 2024-09-24 |