| 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 |