NPI | 1376681809 |
---|---|
Former Name | JAMIE M KENDALL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: SC 8815) |
Additional Taxonomies | 104100000X Social Worker (Licence: SC 8815) |
104100000X Social Worker (Licence: KY 8815) | |
Enumeration Date | 2007-02-05 |
Last Update Date | 2020-06-26 |