NPI | 1770009193 |
---|---|
Former Name | ELIZABETH DANIELS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA LICSW126537) |
Additional Taxonomies | 104100000X Social Worker (Licence: MA 224988) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2017-08-17 |
Last Update Date | 2023-09-19 |