| NPI | 1508029950 |
|---|---|
| Former Name | KATHLEEN MARIE WHALON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OR L7663) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WA LW00008567) |
| Enumeration Date | 2008-07-07 |
| Last Update Date | 2018-05-01 |