| NPI | 1447097993 |
|---|---|
| Doing Business As | KATHERINE KERNODLE BANNON |
| Entity Type | Organization |
| Authorized Contact | KATHERINE KERNODLE BANNON Owner 617-780-1025 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2024-07-11 |
| Last Update Date | 2025-02-21 |