NPI | 1922595446 |
---|---|
Former Name | KALE HERNDON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: GA CSW007514) |
Additional Taxonomies | 104100000X Social Worker (Licence: GA MSW007300) |
1041C0700X Social Worker, Clinical (Licence: NY 106414) | |
Enumeration Date | 2018-04-19 |
Last Update Date | 2022-01-17 |