| NPI | 1427128974 |
|---|---|
| Former Name | LINDA MARIE ETZEL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KS 2071LSCSW) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: KS 2071) |
| Enumeration Date | 2006-11-09 |
| Last Update Date | 2009-09-16 |