NPI | 1760544522 |
---|---|
Former Name | MARGARET ELIZABETH DEROSE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: ME CC1208) |
Additional Taxonomies | 104100000X Social Worker (Licence: ME LS4051) |
Enumeration Date | 2006-12-15 |
Last Update Date | 2019-06-11 |