| NPI | 1134770837 |
|---|---|
| Former Name | KENDRA KATHLEEN STUBBS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OR L11478) |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2019-09-24 |
| Last Update Date | 2024-01-19 |