NPI | 1558655019 |
---|---|
Former Name | KATINA B LITTLE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 084165) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 079939-1) |
Enumeration Date | 2011-06-01 |
Last Update Date | 2021-08-17 |