NPI | 1730733676 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH S.1903934) |
Additional Taxonomies | 101Y00000X Counselor (Licence: OH S.1903934) |
101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH LCDCIII.162070) | |
Enumeration Date | 2019-07-29 |
Last Update Date | 2023-06-16 |