NPI | 1205999505 |
---|---|
Former Name | PATRICIA ANN MARKOS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH 10002884) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH 933466) |
101YA0400X Counselor, Addiction (Substance Use Disorder) | |
Enumeration Date | 2006-12-18 |
Last Update Date | 2020-01-17 |