NPI | 1871601583 |
---|---|
Former Name | KAYE MARY CATHERINE SODEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OK 422) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: OK 566) |
Enumeration Date | 2006-08-25 |
Last Update Date | 2007-07-08 |