NPI | 1619570967 |
---|---|
Former Name | PAIGE F ECKMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I.2304328-SUPV) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH LCDCIII.162090) |
Enumeration Date | 2020-11-19 |
Last Update Date | 2024-04-09 |