NPI | 1912228867 |
---|---|
Former Name | KIM BURKLAND-WARD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NH 1840) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 118773) |
Enumeration Date | 2010-06-15 |
Last Update Date | 2024-10-22 |