NPI | 1194275206 |
---|---|
Former Name | ELLE BENKO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I.2102659) |
Additional Taxonomies | 104100000X Social Worker (Licence: OH S.1610291- TRNE) |
Enumeration Date | 2016-10-12 |
Last Update Date | 2021-03-04 |