| NPI | 1912760372 |
|---|---|
| Former Name | MARY LYNETTE HAMPTON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: OH S.2403415-TRNE) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH S.2403415-TRNE) |
| Enumeration Date | 2024-01-30 |
| Last Update Date | 2024-01-30 |