NPI | 1518452135 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical |
Additional Taxonomies | 101Y00000X Counselor |
101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH LICDC.162466) | |
Enumeration Date | 2018-06-26 |
Last Update Date | 2023-09-05 |