| NPI | 1447402581 |
|---|---|
| Former Name | GRETCHEN WATERS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I.1000054-SUPV) |
| Additional Taxonomies | 104100000X Social Worker (Licence: OH S0701074) |
| Enumeration Date | 2008-10-21 |
| Last Update Date | 2022-08-30 |