NPI | 1225306400 |
---|---|
Former Name | ANN LOUISE BRENNAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WI 1070-123) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: WI 609-125) |
Enumeration Date | 2011-12-02 |
Last Update Date | 2011-12-02 |