NPI | 1346911468 |
---|---|
Former Name | BRIANNA N KOZAR |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH S.2208632) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: KY 257495) |
Enumeration Date | 2021-09-28 |
Last Update Date | 2022-12-28 |