| NPI | 1336890763 |
|---|---|
| Former Name | MAKIA SIDWELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH S.2207662) |
| Additional Taxonomies | 104100000X Social Worker (Licence: OH S.2207662) |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2022-01-18 |
| Last Update Date | 2023-08-10 |