| NPI | 1518467265 |
|---|---|
| Former Name | KENYA J. LOGAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C012890) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC P011597) |
| Enumeration Date | 2018-02-20 |
| Last Update Date | 2023-03-09 |