NPI | 1922814615 |
---|---|
Other Name | KATY C EUSTIS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 104100000X Social Worker (Licence: PA SW140559) |
Additional Taxonomies | 104100000X Social Worker (Licence: NY 108302-01) |
Enumeration Date | 2024-12-06 |
Last Update Date | 2024-12-06 |