| NPI | 1023409778 |
|---|---|
| Former Name | ANDREA NICHOLE HARMON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KS 06149) |
| Additional Taxonomies | 104100000X Social Worker (Licence: KS 9232) |
| Enumeration Date | 2015-02-16 |
| Last Update Date | 2024-07-12 |