NPI | 1235188491 |
---|---|
Former Name | KIMBERLY BROWN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TN 6757) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: GA CSW007326) |
1041C0700X Social Worker, Clinical (Licence: MD 11609) | |
1041C0700X Social Worker, Clinical (Licence: FL 68) | |
1041C0700X Social Worker, Clinical (Licence: VA 0904009757) | |
1041C0700X Social Worker, Clinical (Licence: SC 239) | |
1041C0700X Social Worker, Clinical (Licence: NC C012712) | |
1041C0700X Social Worker, Clinical (Licence: IA 120220) | |
Enumeration Date | 2006-05-08 |
Last Update Date | 2023-10-11 |