NPI | 1457500860 |
---|---|
Former Name | ALLISON WALSH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WY LCSW-1014) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: UT 5903749-3501) |
Enumeration Date | 2008-09-10 |
Last Update Date | 2016-11-01 |