NPI | 1396110243 |
---|---|
Former Name | KATHRYN E KENNEDY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ME LC17003) |
Additional Taxonomies | 104100000X Social Worker (Licence: MA 221171) |
Enumeration Date | 2015-12-03 |
Last Update Date | 2019-10-29 |