NPI | 1396076824 |
---|---|
Former Name | KAREN ABIGAIL SMITH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801058720) |
Additional Taxonomies | 104100000X Social Worker (Licence: MI 6801058720) |
Enumeration Date | 2010-01-22 |
Last Update Date | 2019-06-28 |