NPI | 1699122127 |
---|---|
Former Name | DEBORAH MORAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AZ LCSW-15676) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical |
Enumeration Date | 2016-05-13 |
Last Update Date | 2023-05-18 |