NPI | 1376900191 |
---|---|
Former Name | MICHELLE WEBB |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I. 1501006) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH ICDC 091064) |
Enumeration Date | 2016-01-25 |
Last Update Date | 2016-01-25 |