NPI | 1699182071 |
---|---|
Former Name | KIM LEE LARKEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 104100000X Social Worker (Licence: WA LW00009672) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WA LW00009672) |
Enumeration Date | 2014-07-17 |
Last Update Date | 2024-01-09 |