NPI | 1760048722 |
---|---|
Former Name | SUSANNAH RAUCH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I.2304394-SUPV) |
Additional Taxonomies | 104100000X Social Worker (Licence: OH S.1802668) |
Enumeration Date | 2019-05-15 |
Last Update Date | 2024-09-09 |