NPI | 1699361428 |
---|---|
Former Name | KATIE MORAITAKIS BEEBE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: GA CSW007674) |
Additional Taxonomies | 104100000X Social Worker (Licence: GA MSW008011) |
Enumeration Date | 2020-12-16 |
Last Update Date | 2024-04-16 |