| NPI | 1053609057 |
|---|---|
| Former Name | KERRY FORD LEA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: SD 3000) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MN 10079) |
| Enumeration Date | 2011-07-12 |
| Last Update Date | 2021-05-06 |