| NPI | 1437483724 |
|---|---|
| Former Name | KATHERYN ODELL TEAGUE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AR 8217-C) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MS C6806) |
| 1041C0700X Social Worker, Clinical (Licence: TN 4926) | |
| Enumeration Date | 2009-09-20 |
| Last Update Date | 2016-11-30 |