NPI | 1417461963 |
---|---|
Former Name | KELLYN MARIE LESTER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 104100000X Social Worker (Licence: OH S.2207270) |
Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
Enumeration Date | 2017-11-20 |
Last Update Date | 2022-03-10 |