NPI | 1306533484 |
---|---|
Former Name | JACLYN MARY KARMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 104100000X Social Worker (Licence: MO 2023013705) |
Additional Taxonomies | 104100000X Social Worker (Licence: IL 150.109222) |
Enumeration Date | 2023-04-19 |
Last Update Date | 2023-04-19 |