| NPI | 1124547708 |
|---|---|
| Former Name | KENDRA RHAELANA WEBSTER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: LA 10549) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: LA 20180634) |
| 101YM0800X Counselor Mental Health | |
| Enumeration Date | 2017-09-14 |
| Last Update Date | 2023-02-26 |