NPI | 1669866901 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: OH S-1801911) |
Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: OH CDCA-140969) |
Enumeration Date | 2015-03-25 |
Last Update Date | 2018-03-28 |