NPI | 1538301445 |
---|---|
Former Name | BETHANY GINN WALDROP |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 079302-1) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 079302) |
Enumeration Date | 2009-03-24 |
Last Update Date | 2021-01-23 |