NPI | 1386748754 |
---|---|
Former Name | DARLENE JEAN CARSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C004550) |
Additional Taxonomies | 104100000X Social Worker (Licence: NC C004550) |
Enumeration Date | 2006-09-07 |
Last Update Date | 2020-09-29 |