NPI | 1164776100 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: OH I.0009563-SUPV) |
Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: OH ICDC.031137) |
Enumeration Date | 2012-10-30 |
Last Update Date | 2012-10-30 |