NPI | 1841641230 |
---|---|
Former Name | SHELLI J LEDFORD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 5426) |
Additional Taxonomies | 104100000X Social Worker (Licence: NE 1915) |
1041C0700X Social Worker, Clinical (Licence: IA 086708) | |
Enumeration Date | 2016-06-27 |
Last Update Date | 2020-06-30 |