NPI | 1205378189 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I.2002184-SUPV) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH LICDC.161668) |
101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH 141240) | |
1041C0700X Social Worker, Clinical (Licence: OH S1450917) | |
Enumeration Date | 2016-11-09 |
Last Update Date | 2021-09-28 |