NPI | 1104987965 |
---|---|
Former Name | ANN ELIZABETH LINDGREN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: IA 80) |
Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: IA 00080) |
Enumeration Date | 2006-12-13 |
Last Update Date | 2016-04-01 |