| NPI | 1427760172 |
|---|---|
| Former Name | KAMRI N WOLVERTON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MO 2025009659) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MO 2022045666) |
| Enumeration Date | 2022-12-14 |
| Last Update Date | 2025-04-02 |