NPI | 1548768526 |
---|---|
Former Name | JANELLE VAGNIER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I.2103036-SUPV) |
Additional Taxonomies | 104100000X Social Worker (Licence: OH S.1802213) |
Enumeration Date | 2018-01-25 |
Last Update Date | 2024-04-05 |