NPI | 1497065569 |
---|---|
Former Name | IRENE ANN MCCLUSKEY WORLEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IN 34006076A) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: IN 87001127A) |
Enumeration Date | 2010-10-07 |
Last Update Date | 2024-06-04 |