| NPI | 1134625692 |
|---|---|
| Other Name | EM ROSE GORMLEY |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: PA CW020281) |
| Additional Taxonomies | 104100000X Social Worker (Licence: PA SW133443) |
| Enumeration Date | 2018-04-03 |
| Last Update Date | 2022-06-07 |