NPI | 1255902318 |
---|---|
Former Name | KATHRYN KONING |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801118810) |
Additional Taxonomies | 104100000X Social Worker (Licence: MI 6851114997) |
104100000X Social Worker | |
Enumeration Date | 2021-07-08 |
Last Update Date | 2024-07-16 |