NPI | 1114479318 |
---|---|
Former Name | APRIL LYNN KLOSE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA LW61399187) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: HI 3410) |
1041C0700X Social Worker, Clinical (Licence: VA 0904008680) | |
Enumeration Date | 2016-11-04 |
Last Update Date | 2024-06-05 |