NPI | 1285043588 |
---|---|
Other Name | KELLY LENDERMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AR 8367-C) |
Additional Taxonomies | 104100000X Social Worker (Licence: AR 8367-M) |
Enumeration Date | 2014-08-12 |
Last Update Date | 2020-11-23 |