NPI | 1427225143 |
---|---|
Former Name | KERI ANN FARRELL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: VA 0904012617) |
Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: CA ASW28761) |
1041C0700X Social Worker Clinical (Licence: DC LC50079829) | |
225400000X Rehabilitation Practitioner | |
251V00000X Voluntary or Charitable | |
Enumeration Date | 2008-05-12 |
Last Update Date | 2023-03-16 |