| NPI | 1003939984 |
|---|---|
| Former Name | LORRAINE ELISE MALM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TN 8497) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NE MSW2187) |
| Enumeration Date | 2007-04-07 |
| Last Update Date | 2024-02-18 |