| 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 |