| NPI | 1336886522 |
|---|---|
| Former Name | KARA WEAVER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149018262) |
| Additional Taxonomies | 1041S0200X Social Worker, School (Licence: IL 2054577) |
| Enumeration Date | 2022-05-18 |
| Last Update Date | 2022-09-02 |