NPI | 1396305645 |
---|---|
Former Name | KATHRYN LEE COLE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OK 8123) |
Additional Taxonomies | 104100000X Social Worker |
Enumeration Date | 2019-06-19 |
Last Update Date | 2021-09-08 |