| NPI | 1124460035 |
|---|---|
| Former Name | BONNY KAITLYN PANTER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904009211) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| Enumeration Date | 2013-07-19 |
| Last Update Date | 2020-09-03 |