NPI | 1437551900 |
---|---|
Former Name | KIMBERLY ROCKWELL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 104100000X Social Worker (Licence: GA CSW006255) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC C010480) |
1041C0700X Social Worker, Clinical (Licence: GA CSW006255) | |
Enumeration Date | 2014-09-16 |
Last Update Date | 2022-05-24 |