NPI | 1508406323 |
---|---|
Former Name | KAYLEE RIGGS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IN 34008571A) |
Additional Taxonomies | 104100000X Social Worker (Licence: IN 33008009A) |
Enumeration Date | 2020-01-09 |
Last Update Date | 2022-01-04 |