| NPI | 1376176982 |
|---|---|
| Former Name | VIRGINIA NICOLE KIRKSEY; FUNKHOUSER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: OH S.2005286) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH 172242) |
| Enumeration Date | 2020-02-21 |
| Last Update Date | 2023-11-14 |