NPI | 1437496718 |
---|---|
Former Name | ELIZABETH A GATLIN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AR 6542-C) |
Additional Taxonomies | 104100000X Social Worker (Licence: AR 6542-M) |
Enumeration Date | 2013-01-07 |
Last Update Date | 2020-06-16 |