NPI | 1104888569 |
---|---|
Former Name | LOUISE J CULLEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AZ LISW-19236) |
Additional Taxonomies | 104100000X Social Worker (Licence: OH 7128) |
Enumeration Date | 2006-04-03 |
Last Update Date | 2024-06-07 |