NPI | 1174112205 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041S0200X Social Worker, School (Licence: OH S.2403723) |
Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH CDCA.1904PRELIMINARY) | |
Enumeration Date | 2021-01-13 |
Last Update Date | 2024-12-19 |