NPI | 1699790758 |
---|---|
Former Name | LAUREL WOOD-CROWLEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 003413) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA LICSW115422) |
1041C0700X Social Worker, Clinical (Licence: RI ISW02032) | |
Enumeration Date | 2006-07-12 |
Last Update Date | 2024-08-27 |