| NPI | 1053665638 |
|---|---|
| Former Name | CAROLYN LINDSAY SHIELDS KLINGENSMITH |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 083627) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 086888) |
| Enumeration Date | 2012-11-03 |
| Last Update Date | 2021-08-05 |