NPI | 1497396907 |
---|---|
Former Name | MARYCLAIRE MOLEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 104100000X Social Worker (Licence: NY 123035) |
Additional Taxonomies | 106S00000X Behavior Technician |
Enumeration Date | 2019-10-06 |
Last Update Date | 2024-12-06 |