| NPI | 1578811055 |
|---|---|
| Former Name | JODI MARIE KOVACH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I.2002321) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OH S0901450) |
| Enumeration Date | 2012-08-15 |
| Last Update Date | 2021-01-13 |