NPI | 1033328000 |
---|---|
Former Name | TERESA E COPELAND |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KS LSCSW3916) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: KS LMSW 6106) |
Enumeration Date | 2007-05-22 |
Last Update Date | 2019-12-23 |