NPI | 1659658995 |
---|---|
Former Name | ALICE A O'NEIL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149.021485) |
Additional Taxonomies | 104100000X Social Worker (Licence: IL 150.103044) |
Enumeration Date | 2011-11-15 |
Last Update Date | 2022-11-14 |