NPI | 1861872582 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I.1500558) |
Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
2251S0007X Physical Therapist, Sports | |
Enumeration Date | 2015-06-08 |
Last Update Date | 2020-11-13 |