NPI | 1093113458 |
---|---|
Former Name | KENDRA BECHTOL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WI 8738-123) |
Additional Taxonomies | 104100000X Social Worker (Licence: WI 129598) |
Enumeration Date | 2014-12-16 |
Last Update Date | 2024-08-29 |