NPI | 1811184393 |
---|---|
Former Name | KATHLEEN MEGGAN NOLAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW12038) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: VA 0904006660) |
Enumeration Date | 2007-09-28 |
Last Update Date | 2022-01-28 |