NPI | 1114274404 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH 11281) |
Additional Taxonomies | 104100000X Social Worker (Licence: OH 0701273) |
Enumeration Date | 2012-08-06 |
Last Update Date | 2015-07-14 |