NPI | 1295075695 |
---|---|
Former Name | PATRICIA LEA MCCARTHY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: VA 0701004934) |
Additional Taxonomies | 101Y00000X Counselor (Licence: VA 0701004934) |
Enumeration Date | 2013-02-21 |
Last Update Date | 2022-06-01 |