| NPI | 1588252464 |
|---|---|
| Former Name | KARLYN SUZANNE RUGGLE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: KS 05275) |
| Enumeration Date | 2021-01-06 |
| Last Update Date | 2023-07-12 |