NPI | 1316117831 |
---|---|
Former Name | MOLLIE D DELAWDER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH 1100136-SUPV) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH S-0028697) |
Enumeration Date | 2008-03-12 |
Last Update Date | 2022-07-21 |