| NPI | 1407073950 |
|---|---|
| Former Name | MARY BRIDGET KILLEAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCS21199) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 075755) |
| Enumeration Date | 2007-04-19 |
| Last Update Date | 2013-01-18 |