NPI | 1376999409 |
---|---|
Professional Name | MARCIA KENNEDY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103T00000X Psychologist (Licence: KS 1498) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: KS 4695) |
Enumeration Date | 2016-05-07 |
Last Update Date | 2020-10-09 |