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 |