| NPI | 1053739672 |
|---|---|
| Former Name | KIM MORTIMER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: OH I.0026142) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OH I. 0026142) |
| Enumeration Date | 2014-04-01 |
| Last Update Date | 2023-12-07 |