NPI | 1396142535 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KY 3954) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: KY 1336) |
1041C0700X Social Worker, Clinical (Licence: OH I.1440416) | |
101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH 131178) | |
Enumeration Date | 2014-12-03 |
Last Update Date | 2014-12-04 |