NPI | 1053515510 |
---|---|
Former Name | LORIN CARLSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: PA CW020770) |
Additional Taxonomies | 163WC0400X Registered Nurse Case Management (Licence: PA RN637123) |
1041C0700X Social Worker Clinical (Licence: NY R036388) | |
Enumeration Date | 2007-06-11 |
Last Update Date | 2019-09-09 |