NPI | 1740646843 |
---|---|
Former Name | KAITLIN MARIE CARDEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IN 34008811A) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6801098995) |
Enumeration Date | 2016-01-06 |
Last Update Date | 2024-09-14 |