NPI | 1932772696 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH S.2308872) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH CDCA.179465) |
1041S0200X Social Worker, School | |
Enumeration Date | 2021-07-21 |
Last Update Date | 2023-03-14 |