NPI | 1578972444 |
---|---|
Former Name | MARIA JANE MARTIN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH S1200173-TRNE) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
1041C0700X Social Worker, Clinical (Licence: OH S1303473) | |
Enumeration Date | 2014-08-05 |
Last Update Date | 2022-04-05 |