| NPI | 1336244060 |
|---|---|
| Former Name | MARY MARGARET WINTERS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: MD 03653) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: DC LC50077854) |
| 1041S0200X Social Worker School (Licence: DC LC50077854) | |
| Enumeration Date | 2006-09-14 |
| Last Update Date | 2021-08-11 |