NPI | 1356978035 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical |
Additional Taxonomies | 101Y00000X Counselor (Licence: OH C.2304628-TRNE) |
101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH CDCA.170709) | |
101YM0800X Counselor, Mental Health (Licence: OH QMHS) | |
Enumeration Date | 2020-03-24 |
Last Update Date | 2024-04-02 |