NPI | 1326487034 |
---|---|
Former Name | MARY ELIZABETH PLEMONS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: GA CSW007130) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CO CSW.09926056) |
Enumeration Date | 2013-06-17 |
Last Update Date | 2024-08-12 |