NPI | 1689727877 |
---|---|
Former Name | KAREN CARSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH W-110159) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OH 976247) |
Enumeration Date | 2007-01-19 |
Last Update Date | 2007-07-08 |