| NPI | 1285180059 |
|---|---|
| Former Name | MARY TAKEWELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: LA 13987) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| 1041S0200X Social Worker, School (Licence: LA 13987) | |
| Enumeration Date | 2016-08-31 |
| Last Update Date | 2021-01-29 |