NPI | 1184011652 |
---|---|
Former Name | SUSAN MARIE KING |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I.2405206) |
Additional Taxonomies | 104100000X Social Worker (Licence: OH s.1801923) |
171M00000X Case Manager/Care Coordinator | |
Enumeration Date | 2015-04-22 |
Last Update Date | 2024-10-21 |