| NPI | 1538727656 |
|---|---|
| Former Name | KATHLEEN BALL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WI 9996-123) |
| Additional Taxonomies | 104100000X Social Worker (Licence: WI 128071-121) |
| Enumeration Date | 2019-06-04 |
| Last Update Date | 2022-08-11 |