NPI | 1326447251 |
---|---|
Former Name | ELIZABETH KATE BUERCK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO CSW.0992576) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MO 2014003723) |
Enumeration Date | 2014-08-15 |
Last Update Date | 2021-03-31 |