NPI | 1144490087 |
---|---|
Former Name | MEREDITH JO BRODIE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I0800064) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: PA CW022255) |
Enumeration Date | 2008-03-06 |
Last Update Date | 2022-05-27 |