NPI | 1134672009 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH S.1801902) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH 161009) |
104100000X Social Worker (Licence: OH S.1801902) | |
Enumeration Date | 2016-07-27 |
Last Update Date | 2018-02-01 |