NPI | 1588007512 |
---|---|
Former Name | PAULA PATRICIA DAINE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WI 9290-123) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MN 8662) |
Enumeration Date | 2013-04-09 |
Last Update Date | 2025-04-15 |