| NPI | 1295710374 |
|---|---|
| Former Name | DOREEN E KIPP |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 001754) |
| Additional Taxonomies | 104100000X Social Worker (Licence: CT 1754) |
| Enumeration Date | 2005-12-12 |
| Last Update Date | 2013-09-16 |