NPI | 1518308766 |
---|---|
Former Name | MARION WOODWARD MERRICK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 116558) |
Additional Taxonomies | 104100000X Social Worker (Licence: MA 116558) |
Enumeration Date | 2013-07-16 |
Last Update Date | 2014-04-29 |