NPI | 1477742146 |
---|---|
Former Name | DOROTHY ANNETTE FIELDS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 09651) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: DC LC303140) |
1041C0700X Social Worker, Clinical (Licence: NC C005462) | |
Enumeration Date | 2007-10-18 |
Last Update Date | 2011-12-14 |