NPI | 1063582377 |
---|---|
Former Name | MARY FRANCES SWOBODA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NE 277) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 717) |
Enumeration Date | 2006-11-08 |
Last Update Date | 2014-10-09 |