Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 104100000X | Social Worker | S.0014041 | OH |
Y | 225C00000X | Rehabilitation Counselor | 00050235 | OH |
NPI | 1316263437 |
---|---|
Provider Name | Ms. Erika A Koswatta |
First Address | Solon, OH 44139-5910 |
Second Address | Solon, OH 44139-5910 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 14/04/2010 |
Last Update Date | 16/01/2013 |