| NPI | 1952694283 |
|---|---|
| Former Name | TERRA LYNN KERN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149.016752) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2011-05-19 |
| Last Update Date | 2016-10-28 |