NPI | 1821317850 |
---|---|
Former Name | LAURA E. GILMOUR |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: VA 0904007711) |
Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: MD 17180) |
1041C0700X Social Worker Clinical (Licence: DC LC50079108) | |
Enumeration Date | 2010-06-01 |
Last Update Date | 2011-10-14 |