NPI | 1649021320 |
---|---|
Former Name | LEAH BERDYSZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I.2405772) |
Additional Taxonomies | 104100000X Social Worker (Licence: OH S.2106325) |
Enumeration Date | 2024-03-29 |
Last Update Date | 2024-08-22 |