| NPI | 1740282276 |
|---|---|
| Former Name | ELEANOR TERESA WHEELER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VT 089-0105654) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL SW5774) |
| 1041C0700X Social Worker, Clinical (Licence: NH 1624) | |
| Enumeration Date | 2005-08-15 |
| Last Update Date | 2015-09-25 |