NPI | 1023192309 |
---|---|
Former Name | DIANE K GORSKI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 004489) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 1019597) |
Enumeration Date | 2006-10-24 |
Last Update Date | 2007-07-08 |