NPI | 1437135639 |
---|---|
Former Name | MARILYN R GEBEL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904000774) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: DC LC300051) |
1041C0700X Social Worker, Clinical (Licence: MD 00816) | |
Enumeration Date | 2005-12-20 |
Last Update Date | 2024-11-07 |