| 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 |