NPI | 1437182755 |
---|---|
Former Name | NZINGHA DALILA VICK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E.0500349-SUPV) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH LCDC.091004-3) |
103TC0700X Psychologist, Clinical (Licence: OH E0500349) | |
103TC1900X Psychologist, Counseling (Licence: OH LCDCIII091004) | |
Enumeration Date | 2006-07-09 |
Last Update Date | 2023-06-12 |