NPI | 1255849451 |
---|---|
Former Name | ADRIENNE LEIGH ZIMMERN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I.2203697) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TX 57176) |
Enumeration Date | 2018-01-22 |
Last Update Date | 2024-09-25 |