NPI | 1396262457 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I.2304566-SUPV) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH LICDC.161943) |
101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH PG.00000069) | |
Enumeration Date | 2017-08-29 |
Last Update Date | 2024-10-24 |