NPI | 1568706471 |
---|---|
Former Name | HIEDI L GODFREY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: IN 34011204A) |
Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: OH I0700053SUPV) |
Enumeration Date | 2012-11-15 |
Last Update Date | 2024-09-28 |