NPI | 1598286825 |
---|---|
Former Name | MICHELE ANN WAUGH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 104100000X Social Worker (Licence: OH S.1701331) |
Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: OH LCDCIII.161704) |
Enumeration Date | 2017-06-27 |
Last Update Date | 2019-07-29 |