NPI | 1801301361 |
---|---|
Former Name | DEVAN MICHELLE AYERS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I.2002042) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OH S.1600393) |
Enumeration Date | 2017-12-06 |
Last Update Date | 2021-10-06 |