NPI | 1568070530 |
---|---|
Former Name | TAUNYA BLEDSOE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KY 258111) |
Additional Taxonomies | 104100000X Social Worker (Licence: KY 4197) |
Enumeration Date | 2020-07-16 |
Last Update Date | 2023-07-07 |