| NPI | 1124577721 |
|---|---|
| Former Name | ROSALIE MACKE GORDON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OR L10298) |
| Additional Taxonomies | 104100000X Social Worker |
| Enumeration Date | 2016-09-25 |
| Last Update Date | 2023-09-21 |