| NPI | 1659649119 |
|---|---|
| Other Name | KATIE LANDRY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KS 05774) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MO 2019033729) |
| 1041C0700X Social Worker, Clinical (Licence: CO CSW.09924530) | |
| Enumeration Date | 2011-12-12 |
| Last Update Date | 2024-08-19 |