NPI | 1740648450 |
---|---|
Former Name | MARSHA FLEISIG |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 104100000X Social Worker (Licence: OH S.1303054) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH LCDC.151103-3) |
Enumeration Date | 2016-02-09 |
Last Update Date | 2016-02-09 |