NPI | 1891284717 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I.2506279) |
Additional Taxonomies | 103TA0400X Psychologist, Addiction (Substance Use Disorder) (Licence: OH LCDCII.161326) |
Enumeration Date | 2018-05-07 |
Last Update Date | 2025-03-26 |