NPI | 1790043230 |
---|---|
Former Name | ALISON LORE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 081153) |
Additional Taxonomies | 104100000X Social Worker (Licence: NY 079940) |
Enumeration Date | 2012-05-02 |
Last Update Date | 2016-01-25 |