NPI | 1821117169 |
---|---|
Former Name | DEBORAH KNELL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 114518) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA ASW16953) |
Enumeration Date | 2007-03-28 |
Last Update Date | 2013-07-26 |