NPI | 1083131726 |
---|---|
Former Name | KENDRA LEIGH VERMILLION |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH S.1700730) |
Additional Taxonomies | 104100000X Social Worker (Licence: OH 1700730) |
Enumeration Date | 2017-08-24 |
Last Update Date | 2023-06-01 |