NPI | 1295155331 |
---|---|
Former Name | KELCI MOERBE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO CSW.09923744) |
Additional Taxonomies | 104100000X Social Worker (Licence: CO LSW.0009920051) |
Enumeration Date | 2014-04-16 |
Last Update Date | 2018-10-19 |