NPI | 1689873986 |
---|---|
Former Name | DIANE KATHERINE O'NEIL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C005759) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC P003279) |
Enumeration Date | 2007-07-16 |
Last Update Date | 2023-05-11 |