NPI | 1558424515 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I.0020357-SUPV) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH 954452) |
1041C0700X Social Worker, Clinical (Licence: OH I 0020357) | |
Enumeration Date | 2006-12-19 |
Last Update Date | 2019-05-13 |