NPI | 1134179864 |
---|---|
Former Name | LAURA K LITZENBERGER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KS 3936) |
Additional Taxonomies | 104100000X Social Worker (Licence: KS LMSW 6062) |
Enumeration Date | 2006-05-11 |
Last Update Date | 2019-02-14 |