NPI | 1275057309 |
---|---|
Former Name | ELLEN R POGSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ME LC18186) |
Additional Taxonomies | 104100000X Social Worker (Licence: ME MC16765) |
Enumeration Date | 2017-07-31 |
Last Update Date | 2021-12-17 |