NPI | 1205390762 |
---|---|
Former Name | CALLIE A STEWART |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: OH M-2000134) |
Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
Enumeration Date | 2019-01-29 |
Last Update Date | 2021-05-12 |