NPI | 1649765082 |
---|---|
Former Name | RISA LYNNE RIANCHO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 104100000X Social Worker (Licence: OH S.2207977) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH LCDCII.161737) |
Enumeration Date | 2018-06-28 |
Last Update Date | 2022-08-02 |