| NPI | 1508992884 |
|---|---|
| Former Name | MAUREEN VIRGINA LEDDY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CA LCS26531) |
| Additional Taxonomies | 104100000X Social Worker (Licence: CA ASW20322) |
| 1041C0700X Social Worker Clinical (Licence: CA ASW20322) | |
| Enumeration Date | 2007-02-23 |
| Last Update Date | 2010-09-14 |