| NPI | 1720575061 |
|---|---|
| Former Name | KATHRYN IRENE SHOEMAKER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: OK 5722) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OK 5722) |
| Enumeration Date | 2018-04-20 |
| Last Update Date | 2023-10-30 |