NPI | 1649809708 |
---|---|
Former Name | MARYANN FLYNN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO LCSW.09928821) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CO 09928821) |
Enumeration Date | 2020-04-02 |
Last Update Date | 2024-02-23 |