NPI | 1023170164 |
---|---|
Former Name | YVONNE KING |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OR L3705) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA LCS9474) |
1041C0700X Social Worker, Clinical (Licence: WA LW00008482) | |
Enumeration Date | 2006-12-14 |
Last Update Date | 2007-07-08 |