NPI | 1154078046 |
---|---|
Former Name | KATHRYN BLAIR DUNAWAY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: DC LC200003032) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: VA 0904016680) |
Enumeration Date | 2022-03-09 |
Last Update Date | 2024-04-17 |