NPI | 1528377017 |
---|---|
Former Name | KATHRYN M RIVEST |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801087690) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OH I.0800026-SUPV) |
Enumeration Date | 2010-09-30 |
Last Update Date | 2012-10-03 |