NPI | 1508800541 |
---|---|
Former Name | ANDREA K TOMSHO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 114439) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IN 34004906A) |
Enumeration Date | 2006-06-16 |
Last Update Date | 2008-03-04 |