| 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 |