NPI | 1588329304 |
---|---|
Former Name | CASIDHE CAITLIN MOCK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 171000000X Military Health Care Provider |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: ME LC20946) |
1041C0700X Social Worker, Clinical (Licence: FL SW1824) | |
Enumeration Date | 2021-11-05 |
Last Update Date | 2024-05-03 |