NPI | 1538399399 |
---|---|
Former Name | LOTTIE J. CONNER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I0900135SUPV) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OH I0900135) |
Enumeration Date | 2009-07-15 |
Last Update Date | 2011-11-16 |