| NPI | 1295853166 |
|---|---|
| Former Name | ANNIE ELIZABETH HENNIGAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 077382-1) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 071121) |
| Enumeration Date | 2007-03-27 |
| Last Update Date | 2016-10-28 |