NPI | 1003142340 |
---|---|
Former Name | ERIN O. MALLORY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCS23841) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA LCSW23841) |
Enumeration Date | 2009-10-21 |
Last Update Date | 2021-08-23 |