NPI | 1700971892 |
---|---|
Former Name | CAROL L HERZIG |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA LW60071892) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NH 223) |
Enumeration Date | 2006-10-04 |
Last Update Date | 2011-03-03 |