NPI | 1265938401 |
---|---|
Former Name | EMILY ANDREGG |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 104100000X Social Worker (Licence: OH S.1903509) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH CDCA.165339) |
Enumeration Date | 2018-04-05 |
Last Update Date | 2020-03-19 |