NPI | 1720126246 |
---|---|
Former Name | KELLY A SCOTT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 114595) |
Additional Taxonomies | 104100000X Social Worker (Licence: MA 213235) |
Enumeration Date | 2007-02-05 |
Last Update Date | 2018-05-30 |