NPI | 1982912242 |
---|---|
Former Name | KATHRYN LYN BREEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: UT 9709092-3501) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC C006390) |
Enumeration Date | 2010-09-21 |
Last Update Date | 2022-04-13 |