NPI | 1104419951 |
---|---|
Former Name | DORA G NIEMIERA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW19056) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL ISW14088) |
1041C0700X Social Worker, Clinical (Licence: VA 0904015972) | |
1041C0700X Social Worker, Clinical (Licence: VT 089.0136010) | |
Enumeration Date | 2021-02-12 |
Last Update Date | 2024-08-02 |