NPI | 1457861965 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 104100000X Social Worker (Licence: OH S.2403369-TRNE) |
Additional Taxonomies | 101Y00000X Counselor (Licence: OH LCDCIII.162144) |
101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH CDCA.164169) | |
Enumeration Date | 2017-10-10 |
Last Update Date | 2024-02-06 |