NPI | 1427450840 |
---|---|
Former Name | KITTY HERD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NM C-10371) |
Additional Taxonomies | 104100000X Social Worker (Licence: NM M-06144) |
1041C0700X Social Worker, Clinical (Licence: NM X-10385) | |
Enumeration Date | 2014-09-17 |
Last Update Date | 2018-08-27 |