| NPI | 1679129373 |
|---|---|
| Former Name | KATHRYN DAUGHERTY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I.2304275-SUPV) |
| Additional Taxonomies | 104100000X Social Worker (Licence: KY 253359) |
| Enumeration Date | 2019-08-18 |
| Last Update Date | 2024-12-16 |