NPI | 1972006187 |
---|---|
Former Name | KATIE ONIE ASHLEY DEPEW |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 104100000X Social Worker (Licence: OH S.2106923) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical |
106S00000X Behavior Technician | |
Enumeration Date | 2018-03-14 |
Last Update Date | 2022-10-19 |