| NPI | 1427102284 |
|---|---|
| Former Name | MARY P GASS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801019564) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MI 6801019564) |
| Enumeration Date | 2007-01-22 |
| Last Update Date | 2017-03-06 |