NPI | 1922182955 |
---|---|
Former Name | EMILY KATHERINE FIELDS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C005463) |
Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: NC C005463) |
Enumeration Date | 2006-10-25 |
Last Update Date | 2022-01-18 |