NPI | 1598070351 |
---|---|
Former Name | KIMBERLY A BROWN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: GA CSW004272) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 149.014066) |
Enumeration Date | 2010-08-17 |
Last Update Date | 2021-12-01 |