NPI | 1316483209 |
---|---|
Former Name | BETHANY LYON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: TX 104593) |
Additional Taxonomies | 104100000X Social Worker (Licence: MO 2016001149) |
1041C0700X Social Worker Clinical (Licence: NC C011448) | |
1041C0700X Social Worker Clinical (Licence: FL SW21586) | |
1041C0700X Social Worker Clinical (Licence: SC 13716) | |
1041C0700X Social Worker Clinical (Licence: IA 100806) | |
1041C0700X Social Worker Clinical (Licence: NV 8936-C) | |
1041C0700X Social Worker Clinical (Licence: VA 0904010673) | |
Enumeration Date | 2017-01-16 |
Last Update Date | 2024-04-12 |