NPI | 1194242792 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I.2204124) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH 161376) |
104100000X Social Worker (Licence: OH S1700154) | |
175T00000X Peer Specialist | |
Enumeration Date | 2017-08-24 |
Last Update Date | 2024-10-18 |