NPI | 1841684388 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I.2002334-SUPV) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH 100779) |
101YM0800X Counselor, Mental Health (Licence: OH I.2002334) | |
Enumeration Date | 2015-03-23 |
Last Update Date | 2023-08-21 |