NPI | 1255783361 |
---|---|
Former Name | OLIVIA MCMASTER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO 09926100) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 084197) |
Enumeration Date | 2016-07-13 |
Last Update Date | 2024-11-05 |