NPI | 1164032710 |
---|---|
Former Name | KATY MCCLENIN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NM SWB-2023-0641) |
Additional Taxonomies | 1041S0200X Social Worker, School (Licence: NM X-11535) |
Enumeration Date | 2020-08-07 |
Last Update Date | 2024-04-10 |