NPI | 1063175735 |
---|---|
Former Name | CAROLYN FRITZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MN 29946) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2021-10-19 |
Last Update Date | 2024-04-14 |