NPI | 1811394786 |
---|---|
Former Name | ELIZABETH WALDRUM |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO CSW.09923728) |
Additional Taxonomies | 104100000X Social Worker (Licence: AR 2525-C) |
Enumeration Date | 2014-11-20 |
Last Update Date | 2016-01-11 |