| NPI | 1477399632 |
|---|---|
| Other Name | KANESIA MICHELLE EATON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AL C6T9Q3Y5) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: AL N5L2C9Z7) |
| Enumeration Date | 2024-07-06 |
| Last Update Date | 2024-07-06 |