NPI | 1184900045 |
---|---|
Former Name | KAREN LEE PERKINS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW10521) |
Additional Taxonomies | 104100000X Social Worker (Licence: IL #149.007381) |
Enumeration Date | 2011-10-24 |
Last Update Date | 2024-10-01 |