NPI | 1154600666 |
---|---|
Former Name | CLAIRE BRENNAN TILLBERG |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 218148) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical |
Enumeration Date | 2011-08-15 |
Last Update Date | 2023-06-01 |