| NPI | 1669532107 |
|---|---|
| Other Name | MARY E BLACK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E0000717) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OH I0000799) |
| Enumeration Date | 2006-12-12 |
| Last Update Date | 2007-07-08 |