NPI | 1770154544 |
---|---|
Former Name | LYDIA JONES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I.2506356) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH CDCA.175608) |
104100000X Social Worker (Licence: OH S.2106413) | |
Enumeration Date | 2021-07-02 |
Last Update Date | 2025-03-05 |