NPI | 1497349807 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH C.2305693) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH LCDCIII.162479) |
104100000X Social Worker (Licence: OH S.2204460-TRNE) | |
Enumeration Date | 2021-02-25 |
Last Update Date | 2024-01-26 |