NPI | 1346380334 |
---|---|
Former Name | NICOLE MCINTYRE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 29180) |
Additional Taxonomies | 104100000X Social Worker (Licence: CA 20230) |
Enumeration Date | 2007-02-07 |
Last Update Date | 2021-03-04 |