NPI | 1285000794 |
---|---|
Former Name | DARIENNE FLATTERY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 10615) |
Additional Taxonomies | 101Y00000X Counselor |
Enumeration Date | 2015-08-19 |
Last Update Date | 2019-06-14 |