NPI | 1942371307 |
---|---|
Former Name | KIM A. KLUESNER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: IA 06812) |
Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: IL 149.011638) |
Enumeration Date | 2006-11-09 |
Last Update Date | 2011-08-15 |