NPI | 1114492840 |
---|---|
Former Name | KELLI ANN PRAFKE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA LW61083855) |
Additional Taxonomies | 101Y00000X Counselor (Licence: WA CG60569013) |
104100000X Social Worker (Licence: WA LW61083855) | |
104100000X Social Worker | |
Enumeration Date | 2018-10-09 |
Last Update Date | 2021-12-13 |