NPI | 1679505390 |
---|---|
Former Name | AMBERLY EDGLEY STEPEHENSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KY 3284) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: 60486) |
1041C0700X Social Worker, Clinical (Licence: OH I.1201475) | |
Enumeration Date | 2006-07-06 |
Last Update Date | 2025-03-17 |