NPI | 1659931491 |
---|---|
Former Name | MANDY MURPHY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MO 2021022069) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 149023706) |
Enumeration Date | 2019-06-14 |
Last Update Date | 2023-12-20 |