Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 104100000X | Social Worker | S.2001544-TRNE | OH |
NPI | 1003413253 |
---|---|
Provider Name | Kayla Gelb |
First Address | Cleveland, OH 44118-4897 |
Second Address | Cleveland, OH 44118-4897 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/10/2020 |
Last Update Date | 01/10/2020 |