| NPI | 1235879834 |
|---|---|
| Former Name | MARY E QUADE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WI 12176-123) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: KY 260020) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2022-03-31 |
| Last Update Date | 2025-09-04 |