NPI | 1891927323 |
---|---|
Former Name | KELLY A PLATT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: GA CSW003986) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: SC 10203) |
Enumeration Date | 2009-08-17 |
Last Update Date | 2022-05-25 |