NPI | 1699587261 |
---|---|
Former Name | KATHLEEN MARIE BARRETT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA LICSW1120937) |
Additional Taxonomies | 104100000X Social Worker (Licence: MA 226236) |
Enumeration Date | 2025-01-22 |
Last Update Date | 2025-10-02 |