NPI | 1679621775 |
---|---|
Former Name | CYRESE MAIRE DEARING |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C009642) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL SW12111) |
Enumeration Date | 2007-01-08 |
Last Update Date | 2018-03-17 |