NPI | 1033567334 |
---|---|
Former Name | KATHLEEN EWALD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 104100000X Social Worker (Licence: OH S.1802136) |
Additional Taxonomies | 222Q00000X Developmental Therapist |
Enumeration Date | 2016-05-26 |
Last Update Date | 2018-09-19 |