NPI | 1366841413 |
---|---|
Former Name | REBECCA MARLOW |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I.1201411-SUPV) |
Additional Taxonomies | 104100000X Social Worker (Licence: OH I.1201411) |
Enumeration Date | 2014-08-14 |
Last Update Date | 2019-07-30 |