NPI | 1801464458 |
---|---|
Former Name | LEIGHANN RENEE BUSCHOR |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: OH I.2103162) |
Additional Taxonomies | 104100000X Social Worker (Licence: OH S.1802936) |
Enumeration Date | 2021-06-10 |
Last Update Date | 2022-08-04 |