NPI | 1245551373 |
---|---|
Former Name | DEBRA MCKEOWN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW 13705) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 080168) |
104100000X Social Worker (Licence: NY 078515) | |
Enumeration Date | 2010-06-11 |
Last Update Date | 2016-06-22 |