NPI | 1538124532 |
---|---|
Former Name | BONNIE RICE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ND 2024) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MN 11620) |
Enumeration Date | 2006-04-20 |
Last Update Date | 2010-07-27 |