| NPI | 1265911671 |
|---|---|
| Former Name | KATIE R RILEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ME LC16055) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 120099) |
| Enumeration Date | 2018-08-08 |
| Last Update Date | 2019-01-10 |