NPI | 1881296135 |
---|---|
Former Name | NATHANIEL PETER KERR |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 104100000X Social Worker (Licence: WA LW61511420) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA SC61109834) |
Enumeration Date | 2020-11-11 |
Last Update Date | 2024-09-10 |