NPI | 1679337190 |
---|---|
Professional Name | LOIS ANITA KENYON-SEVERSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149-006426) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6801093855) |
1041C0700X Social Worker, Clinical (Licence: IN 33002748A) | |
Enumeration Date | 2024-02-07 |
Last Update Date | 2024-02-07 |