NPI | 1699821389 |
---|---|
Former Name | MARIE A. CARNEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 104100000X Social Worker (Licence: WV DP00943202) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI L872728) |
Enumeration Date | 2007-01-26 |
Last Update Date | 2018-08-29 |