NPI | 1649587502 |
---|---|
Former Name | ELIZABETH L FEROE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I.0029681-SUPV) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OH I.0029681) |
Enumeration Date | 2010-09-13 |
Last Update Date | 2017-11-07 |