| NPI | 1942439138 |
|---|---|
| Former Name | KATIE LYNN SHOARS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO CSW09923008) |
| Additional Taxonomies | 1041S0200X Social Worker, School (Licence: IA 007249) |
| 104100000X Social Worker (Licence: CO 679) | |
| 104100000X Social Worker (Licence: IA 007249) | |
| Enumeration Date | 2009-07-08 |
| Last Update Date | 2012-09-14 |