NPI | 1730729005 |
---|---|
Former Name | KELSEY RAE HARWOOD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KS 05390) |
Additional Taxonomies | 104100000X Social Worker (Licence: KS 10858) |
1041C0700X Social Worker, Clinical | |
Enumeration Date | 2020-01-14 |
Last Update Date | 2023-06-12 |