NPI | 1669939187 |
---|---|
Former Name | VIDA HOUCK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO CSW.09926645) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical |
Enumeration Date | 2019-02-21 |
Last Update Date | 2021-03-18 |