NPI | 1952445264 |
---|---|
Former Name | KIMBERLY APRIL LOUIS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCS #21701) |
Additional Taxonomies | 104100000X Social Worker (Licence: CA LCS#21701) |
Enumeration Date | 2007-02-19 |
Last Update Date | 2013-12-09 |