NPI | 1164643755 |
---|---|
Former Name | GERALDINE F. TODD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 114383) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 213551) |
Enumeration Date | 2007-05-01 |
Last Update Date | 2018-11-08 |