NPI | 1972672582 |
---|---|
Former Name | CAROL B KATZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 1016234) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL SW4541) |
Enumeration Date | 2006-11-07 |
Last Update Date | 2007-07-08 |