NPI | 1780967208 |
---|---|
Former Name | MARGARET JANE CHOATE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MO 2011029369) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MO 2011029369) |
Enumeration Date | 2011-09-21 |
Last Update Date | 2018-09-04 |