NPI | 1396781738 |
---|---|
Former Name | CLIFFLORA AVIS LEWIS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I0002233) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH 84104) |
1041C0700X Social Worker, Clinical (Licence: OH 84104) | |
Enumeration Date | 2006-06-22 |
Last Update Date | 2011-12-13 |