| NPI | 1851661912 |
|---|---|
| Former Name | KATHLEEN PATRICIA WATE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA SA60352584) |
| Additional Taxonomies | 104100000X Social Worker (Licence: WA SA60352584) |
| Enumeration Date | 2012-01-06 |
| Last Update Date | 2013-07-10 |