NPI | 1114912870 |
---|---|
Former Name | KAREN LEE MCGOWAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 104100000X Social Worker (Licence: IA 00135) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IA 00135) |
Enumeration Date | 2005-09-19 |
Last Update Date | 2007-12-13 |