| NPI | 1245847169 |
|---|---|
| Former Name | MEDEA ELIZABETH CAVER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MO 2019035423) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: KS 5214) |
| Enumeration Date | 2020-09-24 |
| Last Update Date | 2020-09-24 |