NPI | 1073702023 |
---|---|
Former Name | MARY ASHLEY MCFATTER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO 09923425) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC C005844) |
Enumeration Date | 2007-10-16 |
Last Update Date | 2023-09-05 |