NPI | 1508858648 |
---|---|
Former Name | KATHERINE ANN BURKHEAD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 104100000X Social Worker (Licence: NE 1177) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 2946) |
Enumeration Date | 2005-08-16 |
Last Update Date | 2009-02-17 |