NPI | 1548681224 |
---|---|
Former Name | KATHERINE LONDON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: OR L8428) |
Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: NY 083153) |
1041C0700X Social Worker Clinical (Licence: NH 3678) | |
Enumeration Date | 2013-12-23 |
Last Update Date | 2024-06-07 |