NPI | 1477080448 |
---|---|
Former Name | EMMA MCMAHON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 122576) |
Additional Taxonomies | 104100000X Social Worker (Licence: MA 223152) |
Enumeration Date | 2017-05-22 |
Last Update Date | 2020-04-27 |