NPI | 1255877395 |
---|---|
Former Name | CALLEY SIMPSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KY 255262) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OH I.2203807) |
Enumeration Date | 2017-01-12 |
Last Update Date | 2025-06-24 |