NPI | 1043699416 |
---|---|
Former Name | KATHERINE MIDDLETON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KY 5138) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TN 7940) |
1041C0700X Social Worker, Clinical (Licence: AL 5805C) | |
Enumeration Date | 2015-05-19 |
Last Update Date | 2025-10-06 |