NPI | 1104338524 |
---|---|
Former Name | JULIA COHEN CARLSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO CSW.09926347) |
Additional Taxonomies | 104100000X Social Worker (Licence: CO LSW.9921673) |
Enumeration Date | 2017-10-25 |
Last Update Date | 2022-11-29 |