| NPI | 1043744675 |
|---|---|
| Former Name | KATHLEEN MCMANUS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IA 109614) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: PA CW018990) |
| Enumeration Date | 2017-04-20 |
| Last Update Date | 2023-02-15 |