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 |