| NPI | 1023746971 |
|---|---|
| Former Name | MARY ELLEN KANE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: PA CW022730) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CT 012440) |
| Enumeration Date | 2022-08-09 |
| Last Update Date | 2024-01-05 |