NPI | 1790204576 |
---|---|
Former Name | MARGARET GROSS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VT 089.0134521) |
Additional Taxonomies | 101Y00000X Counselor (Licence: CA 85062) |
Enumeration Date | 2017-09-13 |
Last Update Date | 2022-08-18 |