| NPI | 1689058273 |
|---|---|
| Former Name | LARISSA TURNER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I.1700018-SUPV) |
| Additional Taxonomies | 104100000X Social Worker (Licence: OH S.0026177) |
| Enumeration Date | 2015-07-14 |
| Last Update Date | 2020-12-07 |