| NPI | 1790188670 |
|---|---|
| Former Name | MARY CAROLINE MOTUS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CA 93793) |
| Additional Taxonomies | 104100000X Social Worker |
| Enumeration Date | 2014-10-06 |
| Last Update Date | 2021-06-15 |