NPI | 1518001734 |
---|---|
Former Name | REGINA E ECKLES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OR 3859) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OR L3859) |
Enumeration Date | 2007-02-19 |
Last Update Date | 2020-08-10 |