NPI | 1518292572 |
---|---|
Former Name | ANN O. GUDMUNDSEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ID LCSW-26153) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical |
Enumeration Date | 2009-10-08 |
Last Update Date | 2009-10-08 |