| NPI | 1437633427 |
|---|---|
| Former Name | KERRY ROSE O'DONNELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MN 27891) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MN 52937) |
| Enumeration Date | 2018-09-17 |
| Last Update Date | 2020-10-13 |