NPI | 1255470605 |
---|---|
Former Name | MARTHA ANNA CRABTREE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 104100000X Social Worker (Licence: CA LCSW 18869) |
Additional Taxonomies | 104100000X Social Worker (Licence: MI 6801014853) |
Enumeration Date | 2007-02-05 |
Last Update Date | 2007-07-08 |