NPI | 1073970208 |
---|---|
Former Name | BRIANA GILLIGAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ID 39892) |
Additional Taxonomies | 104100000X Social Worker (Licence: ID LMSW-34943) |
Enumeration Date | 2016-01-19 |
Last Update Date | 2023-06-02 |