| NPI | 1700300340 |
|---|---|
| Former Name | CARLY IAMES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: OH I.1901543-SUPV) |
| Additional Taxonomies | 104100000X Social Worker (Licence: 1600849) |
| 1041C0700X Social Worker, Clinical (Licence: OH I.1901543) | |
| Enumeration Date | 2017-07-26 |
| Last Update Date | 2021-12-22 |