| NPI | 1578890349 |
|---|---|
| Former Name | DIANE CALLECOD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I.0700414-supv) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL SW14506) |
| 1041C0700X Social Worker, Clinical (Licence: OH I 0700414) | |
| Enumeration Date | 2009-11-15 |
| Last Update Date | 2018-01-18 |