NPI | 1326173667 |
---|---|
Former Name | BROOKE A QUIMBY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IN 34006000A) |
Additional Taxonomies | 104100000X Social Worker (Licence: IN 33005242A) |
Enumeration Date | 2007-02-23 |
Last Update Date | 2010-05-04 |