| NPI | 1598166993 |
|---|---|
| Former Name | KATESHA SHANEE CROMWELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904010149) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC P009061) |
| Enumeration Date | 2014-09-04 |
| Last Update Date | 2023-11-27 |