NPI | 1568602985 |
---|---|
Former Name | AUTUMN CLARE BRADLEY MCCARTHY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 24673) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TX 52481) |
Enumeration Date | 2009-02-25 |
Last Update Date | 2023-03-27 |