NPI | 1073907721 |
---|---|
Professional Name | KACYNTHIA GRACE BRADLEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 104100000X Social Worker (Licence: NY 101YM0800) |
Additional Taxonomies | 104100000X Social Worker (Licence: CT 001030) |
Enumeration Date | 2015-03-20 |
Last Update Date | 2015-03-20 |