NPI | 1306114632 |
---|---|
Former Name | SHAUNA WILL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I.1440093) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OH S.1100398) |
Enumeration Date | 2011-12-01 |
Last Update Date | 2014-09-26 |