NPI | 1720426232 |
---|---|
Former Name | MERCEDE MCNEILL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 26580) |
Additional Taxonomies | 104100000X Social Worker (Licence: NY 086599) |
Enumeration Date | 2013-06-06 |
Last Update Date | 2023-01-05 |