| NPI | 1407279557 |
|---|---|
| Former Name | THERESE ANN RUANE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801057614) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TX 39045) |
| Enumeration Date | 2014-01-27 |
| Last Update Date | 2014-01-27 |