NPI | 1235799412 |
---|---|
Other Name | TRACY BOLYARD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 104100000X Social Worker (Licence: OH S.1903921) |
Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
Enumeration Date | 2019-06-19 |
Last Update Date | 2019-06-20 |