NPI | 1114109709 |
---|---|
Former Name | KAREN KERSEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: TX 55230) |
Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: MA 214692) |
Enumeration Date | 2007-12-05 |
Last Update Date | 2019-10-18 |