NPI | 1508158825 |
---|---|
Former Name | DEBORAH DENMAN WHITE EYE KREITZER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MO 2008033439) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: KS 3800) |
Enumeration Date | 2011-05-04 |
Last Update Date | 2011-05-04 |