NPI | 1568834281 |
---|---|
Former Name | JAMIE L PARENT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ME LC16878) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: ME MC15701) |
Enumeration Date | 2015-10-21 |
Last Update Date | 2018-01-17 |