| NPI | 1154116432 |
|---|---|
| Former Name | KATELYN ALICIA DECHARD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: OK 21836) |
| Additional Taxonomies | 104100000X Social Worker (Licence: KS 13816) |
| Enumeration Date | 2025-04-09 |
| Last Update Date | 2025-08-01 |