NPI | 1407353402 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I.2102590) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH CDCA.165912) |
101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH LCDCIII.162072) | |
104100000X Social Worker (Licence: OH S1700400) | |
Enumeration Date | 2018-04-07 |
Last Update Date | 2024-01-05 |