NPI | 1043398571 |
---|---|
Professional Name | EVY O LEARY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MT 484LCPC) |
Additional Taxonomies | 163WR0400X Registered Nurse, Rehabilitation (Licence: MT 09268) |
Enumeration Date | 2006-11-01 |
Last Update Date | 2007-07-08 |