NPI | 1437663069 |
---|---|
Former Name | LORRAINE CIPRIANO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH 163701) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OH CDCA.163701) |
Enumeration Date | 2017-11-17 |
Last Update Date | 2020-12-15 |