NPI | 1407332570 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I.2002509) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH S.1802335) |
101YM0800X Counselor, Mental Health (Licence: OH S.1802335) | |
Enumeration Date | 2018-07-12 |
Last Update Date | 2022-07-08 |