NPI | 1396327300 |
---|---|
Former Name | EMILY SHANAHAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 099356-01) |
Additional Taxonomies | 104100000X Social Worker (Licence: NY 108061-01) |
Enumeration Date | 2021-04-28 |
Last Update Date | 2025-01-27 |