NPI | 1740312438 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH 882485) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OH I7085) |
1041C0700X Social Worker, Clinical (Licence: KY 1261) | |
Enumeration Date | 2007-03-09 |
Last Update Date | 2007-07-08 |