| NPI | 1689769648 |
|---|---|
| Former Name | CAROL ANN IWEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MT 713) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NV 4731N) |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2014-11-06 |