NPI | 1750505558 |
---|---|
Former Name | CARRIE MEO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW8341) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 149009950) |
Enumeration Date | 2007-04-12 |
Last Update Date | 2009-12-23 |