NPI | 1235458282 |
---|---|
Former Name | LETA ELIZABETH MERCER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I.1303656) |
Additional Taxonomies | 104100000X Social Worker (Licence: OH S0900765) |
Enumeration Date | 2010-05-28 |
Last Update Date | 2014-04-22 |