NPI | 1033455415 |
---|---|
Former Name | LORRAINE KERWOOD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OR L6689) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OR M6689) |
Enumeration Date | 2012-12-12 |
Last Update Date | 2022-08-12 |