NPI | 1770130742 |
---|---|
Former Name | ERIN CONNER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I.2203820) |
Additional Taxonomies | 104100000X Social Worker (Licence: OH S.1802827) |
Enumeration Date | 2019-08-23 |
Last Update Date | 2024-01-31 |