NPI | 1215995865 |
---|---|
Former Name | KATHLEEN ANN LYNCH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NH 1464) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 111712) |
Enumeration Date | 2006-05-03 |
Last Update Date | 2011-05-19 |