NPI | 1790166395 |
---|---|
Former Name | ANDREA LEE MCSWEENEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NC C101933) |
Additional Taxonomies | 251S00000X Community/Behavioral Health |
Enumeration Date | 2015-06-09 |
Last Update Date | 2022-08-29 |