NPI | 1144556457 |
---|---|
Former Name | HOLLY BORCHARDT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 104100000X Social Worker (Licence: OR A5055) |
Additional Taxonomies | 104100000X Social Worker (Licence: OR M5055) |
Enumeration Date | 2009-10-21 |
Last Update Date | 2012-10-02 |