| NPI | 1104265289 |
|---|---|
| Former Name | MARY L GING |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: KS 8192) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MO 2011032485) |
| Enumeration Date | 2013-06-21 |
| Last Update Date | 2022-08-19 |