NPI | 1730370370 |
---|---|
Former Name | MELISSA SHEEHAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 077483) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: RI ISW01971) |
Enumeration Date | 2007-08-08 |
Last Update Date | 2023-03-10 |