| NPI | 1619485646 |
|---|---|
| Former Name | LEAH MARIE FAY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I.2002296) |
| Additional Taxonomies | 104100000X Social Worker (Licence: OH 1500710) |
| 104100000X Social Worker (Licence: OH S1500710) | |
| Enumeration Date | 2018-01-11 |
| Last Update Date | 2020-08-19 |