NPI | 1447442561 |
---|---|
Former Name | JAIMIE L SIMON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OR L4217) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA LCS 23571) |
Enumeration Date | 2007-08-13 |
Last Update Date | 2021-12-29 |