NPI | 1710509906 |
---|---|
Former Name | COLM DALY |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ME LC19205) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: PA CW021277) |
Enumeration Date | 2020-05-11 |
Last Update Date | 2024-01-15 |