NPI | 1922580422 |
---|---|
Former Name | CAROLYN J CONRAD-MCPEEK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I.2203878) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OH S.1802151) |
Enumeration Date | 2018-08-30 |
Last Update Date | 2024-09-20 |