NPI | 1851545107 |
---|---|
Former Name | CAROL SWENSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 104100000X Social Worker (Licence: NY R042195-1) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 271902-1) |
Enumeration Date | 2008-11-13 |
Last Update Date | 2008-11-13 |