| NPI | 1346474939 |
|---|---|
| Former Name | KATELYN DIANE DUDLEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: IL 149019037) |
| Additional Taxonomies | 104100000X Social Worker (Licence: IL 150015309) |
| 225C00000X Rehabilitation Counselor | |
| Enumeration Date | 2009-05-11 |
| Last Update Date | 2024-04-01 |