| NPI | 1538650296 |
|---|---|
| Former Name | ANDREA BOYLES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: KS 05335) |
| Additional Taxonomies | 104100000X Social Worker (Licence: KS 10827) |
| Enumeration Date | 2018-05-29 |
| Last Update Date | 2020-12-08 |