| NPI | 1669814877 |
|---|---|
| Former Name | KATIE ROSE FRAZIER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 118990) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 218637) |
| Enumeration Date | 2013-07-29 |
| Last Update Date | 2015-12-16 |