Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 104100000X | Social Worker |
NPI | 1003395468 |
---|---|
Provider Name | Shiying Liu |
First Address | Cleveland, OH 44120-1053 |
Second Address | Cleveland, OH 44120-1053 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/08/2018 |
Last Update Date | 04/10/2018 |