NPI | 1659669778 |
---|---|
Former Name | CAROLINE E MCDONALD, COLLINS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: ID 33833) |
Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: ID LCSW-33833) |
Enumeration Date | 2011-07-11 |
Last Update Date | 2019-08-20 |