| NPI | 1336306414 |
|---|---|
| Former Name | LINDA T CLUKIES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: RI isw01362) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 110417) |
| Enumeration Date | 2008-05-17 |
| Last Update Date | 2011-03-02 |