| 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 |