NPI | 1629340153 |
---|---|
Former Name | STACEY HUFF |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I.1302344) |
Additional Taxonomies | 104100000X Social Worker (Licence: OH S.1000948) |
Enumeration Date | 2012-01-30 |
Last Update Date | 2015-08-19 |