NPI | 1659939635 |
---|---|
Former Name | CHRISTEN BRADFORD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I.2406077) |
Additional Taxonomies | 104100000X Social Worker (Licence: OH S.1800748-TRNE) |
Enumeration Date | 2019-06-04 |
Last Update Date | 2024-11-25 |