| NPI | 1336496546 |
|---|---|
| Former Name | KATIE R KILGORE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KS LSCSW 4443) |
| Additional Taxonomies | 104100000X Social Worker (Licence: KS 8411) |
| Enumeration Date | 2012-08-07 |
| Last Update Date | 2021-12-15 |