NPI | 1841574209 |
---|---|
Former Name | KYNA COLLEEN BASKIN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 51127) |
Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: TX 51127) |
Enumeration Date | 2011-10-04 |
Last Update Date | 2013-04-30 |