NPI | 1447448675 |
---|---|
Former Name | KAREN RENEE CHILDS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44sc05421000) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MD 13612) |
Enumeration Date | 2007-10-12 |
Last Update Date | 2019-07-29 |