| NPI | 1295593705 |
|---|---|
| Other Name | KATRINA LYNN KUSH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA LICSW257) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 000227301) |
| Enumeration Date | 2024-03-08 |
| Last Update Date | 2024-08-15 |