NPI | 1578908059 |
---|---|
Former Name | KATLYN LEIGH WEST |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 087110) |
Additional Taxonomies | 104100000X Social Worker (Licence: NY 087521-1) |
Enumeration Date | 2013-05-09 |
Last Update Date | 2025-09-23 |