NPI | 1346333499 |
---|---|
Other Name | ETOLIA VAN BUSKIRK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C009167) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: GA CSW003588) |
Enumeration Date | 2006-10-02 |
Last Update Date | 2014-10-07 |