NPI | 1356740351 |
---|---|
Former Name | TRICIA LINDE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: SC 11572) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WI 8412-123) |
Enumeration Date | 2014-08-15 |
Last Update Date | 2019-10-16 |