NPI | 1194183145 |
---|---|
Other Name | KATIE DEGRELLA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IN 34007229A) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 29746) |
Enumeration Date | 2016-02-05 |
Last Update Date | 2016-02-05 |