| NPI | 1710534151 |
|---|---|
| Former Name | KEANYA CARR |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KY 256683) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MD 18846) |
| 1041C0700X Social Worker, Clinical (Licence: DC LC50082179) | |
| 1041S0200X Social Worker, School | |
| Enumeration Date | 2019-08-21 |
| Last Update Date | 2025-05-08 |