| NPI | 1194194985 |
|---|---|
| Former Name | BETSY L WALLS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: WI 128854-121) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WI 8374-123) |
| Enumeration Date | 2015-09-22 |
| Last Update Date | 2021-03-11 |