| NPI | 1427672278 |
|---|---|
| Former Name | DALE ELLEN MADDEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 07177) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: DC LC302078) |
| Enumeration Date | 2020-06-07 |
| Last Update Date | 2020-06-07 |