NPI | 1467582700 |
---|---|
Former Name | MARTHA ELIZABETH GESTRING |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 21706) |
Additional Taxonomies | 104100000X Social Worker (Licence: TX 21706) |
Enumeration Date | 2007-03-06 |
Last Update Date | 2019-04-17 |