NPI | 1235357013 |
---|---|
Former Name | MARY RUTH SCHNEIDER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149012750) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MO 2009000237) |
Enumeration Date | 2007-04-24 |
Last Update Date | 2022-08-22 |