NPI | 1225575335 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH i.1700735) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH 131038-3) |
101YM0800X Counselor, Mental Health (Licence: OH i.1700735) | |
1041C0700X Social Worker, Clinical (Licence: OH s0901292) | |
Enumeration Date | 2017-01-26 |
Last Update Date | 2021-10-06 |