NPI | 1760648679 |
---|---|
Other Name | KITTY WILSON DOUGLAS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AR 2113-M) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TX 51031) |
Enumeration Date | 2008-07-30 |
Last Update Date | 2008-12-10 |