NPI | 1154879484 |
---|---|
Former Name | ROCHENA CROSBY-HALL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I.1700038-SUPV) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH 131183) |
Enumeration Date | 2016-09-15 |
Last Update Date | 2024-08-12 |